person
Mrs. Lynne M. Edebohls, APNP
Pediatric Nurse Practitioner in Lake Mills, Wisconsin
NPI 1154438760

Lynne M. Edebohls is a Pediatric Nurse Practitioner based in Lake Mills, WI and is specialized in Pediatrics. Lynne M. Edebohls practices in Lake Mills, WI and has the professional credentials of APNP. The NPI Number for Lynne M. Edebohls is 1154438760 and holds a License No. 1323-33 (Wisconsin).

The current practice location address for Lynne M. Edebohls is 1025 Mulberry St, Lake Mills, WI and can be reached out via phone at 920-648-4518 and via fax at 920-648-1623.

Location: 1025 Mulberry St, Lake Mills, WI, 53551-1304
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Provider Profile Details
NPI Number
1154438760
Provider Name
Lynne M. Edebohls
Credential
APNP
Provider Entity Type
Individual
Gender
Female
Address
1025 Mulberry St, Lake Mills, WI, 53551-1304
Phone Number
920-648-4518
Fax Number
920-648-1623
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43891700 05 WI
000854100 01 MEDICARE A
institution
Provider Business Practice Location Address Details
Address
1025 Mulberry St
City
State
Zip
53551-1304
Phone Number
920-648-4518
Fax Number
920-648-1623
person
Provider Business Mailing Address Details
Address
1025 Mulberry St
City
State
Zip
53551-1304
Phone Number
920-648-4518
Fax Number
920-648-1623
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
1323-33 (Wisconsin)
Definition
Definition to come...
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