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Individual

LINDSAY M TANTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2801 W KINNICKINNIC RIVER PKWY, STE 370, MILWAUKEE, WI 53215-3669
(414) 672-6006
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 649-1280

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5280
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100029965
WI
Enumeration date
04/22/2013
Last updated
11/07/2023
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