Individual
MS. LYNN KATHARINE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2130 RIFLE RD, MOSINEE, WI 54455-9765
(715) 693-8004
Mailing address
2130 RIFLE RD, MOSINEE, WI 54455-9765
(715) 693-8004
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20507-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38275900
—
WI
Enumeration date
04/03/2007
Last updated
07/09/2007
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