Individual
MRS. LYNN N. HEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16021 SOUTH HICKORY COURT, BELOIT, WI 53511
(608) 368-0328
Mailing address
W2968 MAIN ST, JUDA, WI 53550-9525
(608) 558-1936
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
147572-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35069800
—
WI
Enumeration date
12/01/2008
Last updated
12/01/2008
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