Individual
JUDITH C LYNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 W BLUFF ST, BOSCOBEL, WI 53805-1601
(608) 375-2424
(608) 375-6285
Mailing address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1166033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43877300
—
WI
Enumeration date
05/11/2006
Last updated
12/07/2007
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