Individual
MS. LYNN C JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
W231N1440 CORPORATE CT, WAUKESHA, WI 53186-1303
(262) 896-6000
Mailing address
W231N1440 CORPORATE CT, WAUKESHA, WI 53186-1303
(262) 896-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LT1120
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022000121J
HUMANA
—
05
—
31463900
—
WI
Enumeration date
05/15/2006
Last updated
12/03/2012
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