Individual
LYNN A KOBLEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2629 N 7TH ST, SHEBOYGAN, WI 53083-4932
(920) 451-5294
Mailing address
500 KIRTS BLVD STE 100, TROY, MI 48084-4135
(248) 434-6169
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5918
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100040282
—
WI
Enumeration date
08/15/2014
Last updated
04/21/2022
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