Derezinski, Lynne M

Derezinski, Lynne M is an individual health care provider with primary practice located at 5412 Us Highway 10 E , Stevens Point WI 54482-8559. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Derezinski, Lynne M can be contacted via phone (715) 346-5243.

Contact Information

Primary practice address
5412 Us Highway 10 E Stevens Point WI 54482-8559
Phone: (715) 346-5243
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4200 Wisconsin

Profile Details

NPI number 1205146222
LBN Legal business name Derezinski, Lynne M
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2010
Last updated Oct 8th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205146222 NPPES
Wisconsin Other 4200 WI STATE LIC

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