Individual
LYNN REISBERG
Active
Individual
LYNN REISBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041399186
IL
363LF0000X
Family Nurse Practitioner
Primary
209016561
IL
Other
Enumeration date
09/21/2017
Last updated
05/02/2018
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