Individual
BRITTANY J LYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 373-8000
(608) 373-8006
Mailing address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 373-8000
(608) 373-8006
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
154657-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598039166
—
WI
01
—
P01519340
RAILROAD MEDICARE
WI
Enumeration date
02/29/2012
Last updated
11/05/2015
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