Individual
MRS. JACLYNN ANN LIEN-SKUBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
5900 S LAKE DR LOWR LEVEL, CUDAHY, WI 53110-3171
(414) 744-4000
(414) 489-4022
Mailing address
5900 S LAKE DR, CUDAHY, WI 53110-3171
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4973-33
WI
363LF0000X
Family Nurse Practitioner
Primary
4973
WI
Other
Enumeration date
09/13/2012
Last updated
02/14/2025
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