Individual
LYNN A BIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
618 55TH ST, KENOSHA, WI 53140
(262) 657-8434
(262) 657-8435
Mailing address
618 55TH ST, KENOSHA, WI 53140
(262) 657-8434
(262) 657-8435
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2628-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391777152011
BCBS WI
WI
Enumeration date
11/02/2006
Last updated
10/29/2007
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