Individual
MARISSA LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
770 LINCOLN AVE STE 5, FENNIMORE, WI 53809-1563
(608) 485-1352
Mailing address
2593 COUNTY ROAD M APT SUITE, BOSCOBEL, WI 53805-9517
(608) 485-1352
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14351
WI
363L00000X
Nurse Practitioner
A174764
IA
Other
Enumeration date
06/19/2023
Last updated
09/05/2023
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