Individual
MRS. JULIE LOUISE LYERLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
528 STOUGHTON RD, SUITE 2, EDGERTON, WI 53534-1137
(608) 884-2544
(608) 884-2912
Mailing address
528 STOUGHTON RD, SUITE 2, EDGERTON, WI 53534-1137
(608) 884-2544
(608) 884-2912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
409023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32445200
—
WI
Enumeration date
09/27/2006
Last updated
07/08/2007
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