Individual
LINDSEY PANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
(920) 303-8992
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 303-8700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5877-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100039639
—
WI
Enumeration date
08/04/2014
Last updated
11/17/2023
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