Individual
MRS. LENA MARIE WRIGHT DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 WEST AVENUE S, LA CROSSE, WI 54601-8806
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12600
MN
363A00000X
Physician Assistant
Primary
4280
WI
363A00000X
Physician Assistant
91103
MT
Other
Enumeration date
05/21/2016
Last updated
11/17/2022
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