Hernandez, Lyndon V

Hernandez, Lyndon V is an individual health care provider with primary practice located at 2801 W Kinnickinnic River Pkwy Ste 1080 , Milwaukee WI 53215-3689. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Hernandez, Lyndon V can be contacted via phone (414) 908-6615.

Contact Information

Primary practice address
2801 W Kinnickinnic River Pkwy Ste 1080 Milwaukee WI 53215-3689
Fax: (414) 385-2980
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 34928-020 Wisconsin

Profile Details

NPI number 1831166503
LBN Legal business name Hernandez, Lyndon V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Oct 25th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831166503 NPPES
Wisconsin MEDICAID 32128000

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