Individual
MRS. STACEY LYNN LINDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 716-3721
Mailing address
220 CEDAR ST, NEENAH, WI 54956-3405
(920) 716-3721
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
411-039
WI
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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