Mazzetta, Lucille

Mazzetta, Lucille is an individual health care provider with primary practice located at 3400 E Racine St , Janesville WI 53546-2344. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Mazzetta, Lucille can be contacted via phone (608) 373-8000.

Contact Information

Primary practice address
3400 E Racine St Janesville WI 53546-2344
Phone: (608) 373-8000
Fax: (608) 373-8795
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 12065-33 Wisconsin

Profile Details

NPI number 1891314050
LBN Legal business name Mazzetta, Lucille
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2020
Last updated Aug 22nd, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1891314050 NPPES
Wisconsin MEDICAID 1891314050

Popular Providers