Individual
LYNN SCULLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
205 ISABELL ST, HIGHLAND, WI 53543-9798
(608) 929-4918
Mailing address
205 ISABELL ST, HIGHLAND, WI 53543-9798
(608) 929-4918
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
7645031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39831200
—
WI
Enumeration date
11/01/2006
Last updated
07/09/2007
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