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Individual

LYNNAE SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN BSN NCSN

Contact information

Practice address
801 E LINCOLN ST, WAUPUN, WI 53963-1753
(920) 324-5591
(920) 939-7674
Mailing address
801 E LINCOLN ST, WAUPUN, WI 53963-1753
(920) 324-5591
(920) 939-7674

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
132102-30
WI

Other

Enumeration date
06/03/2026
Last updated
06/03/2026
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