Organization
ALTERNATIVE HEALTHCARE FAMILY PRACTICE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE R LYNCH D.O. (PHYSICIAN)
(262) 740-0900
Entity
Organization
Contact information
Practice address
312 S 7TH ST, SUITE 4, DELAVAN, WI 53115-1964
(262) 740-0900
(262) 740-0909
Mailing address
312 S 7TH ST, SUITE 4, DELAVAN, WI 53115-1964
(262) 740-0900
(262) 740-0909
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
44907-021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44907-021
STATE LICENSE
WI
Enumeration date
04/13/2007
Last updated
04/30/2014
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