Individual
MRS. LYNN MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5609 W CALUMET RD, MILWAUKEE, WI 53223-4314
(414) 446-5723
Mailing address
5609 W CALUMET RD, MILWAUKEE, WI 53223-4314
(414) 446-5723
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35005200
—
WI
Enumeration date
03/23/2007
Last updated
07/09/2007
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