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Mya Amalie Lonnebotn
Student in an Organized Health Care Education/Training Program in Merrimac, Wisconsin
NPI 1982337432

Mya Amalie Lonnebotn is a Student in an Organized Health Care Education/Training Program based in Merrimac, WI. Mya Amalie Lonnebotn practices in Merrimac, WI. The NPI Number for Mya Amalie Lonnebotn is 1982337432 and holds a License No. (Wisconsin).

The current practice location address for Mya Amalie Lonnebotn is S7708A Lucille Ln, Merrimac, WI and can be reached out via phone at 608-239-9073.

Location: S7708A Lucille Ln, Merrimac, WI, 53561-9567
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982337432
Provider Name
Mya Amalie Lonnebotn
Credential
Provider Entity Type
Individual
Gender
Female
Address
S7708A Lucille Ln, Merrimac, WI, 53561-9567
Phone Number
608-239-9073
Fax Number
Provider Enumeration Date
07/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
S7708A Lucille Ln
City
Merrimac
State
Wisconsin
Zip
53561-9567
Phone Number
608-239-9073
Fax Number
person
Provider Business Mailing Address Details
Address
S7708A Lucille Ln
City
Merrimac
State
Wisconsin
Zip
53561-9567
Phone Number
608-239-9073
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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