Individual
MS. KRISTINE A LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
904 W MAIN ST, WAUPUN, WI 53963-1201
(920) 324-8700
Mailing address
1301 HIAWATHA DR, BEAVER DAM, WI 53916-1223
(920) 210-2926
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
3383-033
WI
363LP2300X
Primary Care Nurse Practitioner
Primary
3383-033
WI
Other
Enumeration date
06/14/2008
Last updated
07/29/2013
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