Calaway, Lynn Renee

Calaway, Lynn Renee is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Surgery, Milwaukee WI 53226-4874. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Calaway, Lynn Renee can be contacted via phone (414) 266-6550.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Surgery Milwaukee WI 53226-4874
Fax: (414) 266-6579
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1267-023 Wisconsin

Profile Details

NPI number 1275744591
LBN Legal business name Calaway, Lynn Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Feb 14th, 2013 - about 12 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 1275744591 NPPES
Wisconsin MEDICAID 1275744591

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