Individual
LUELLA M GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 563-5571
Mailing address
PO BOX 249, FORT ATKINSON, WI 53538-0249
(920) 563-4466
(920) 568-4004
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
74002-20
WI
208000000X
Pediatrics Physician
G151934
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447344825
—
VA
05
—
1447344825
—
WI
05
—
1516609
—
TN
05
—
21385301
—
NM
Enumeration date
10/03/2006
Last updated
12/17/2025
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