Individual
LINDSEY MAE NOVACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-2436
Mailing address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-2436
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
235214
WI
363LF0000X
Family Nurse Practitioner
Primary
13710-33
WI
Other
Enumeration date
04/10/2018
Last updated
03/07/2024
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