Lyle, Lindsay M

Lyle, Lindsay M is an individual health care provider with primary practice located at 900 E Division St , Wautoma WI 54982-6944. 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. Lyle, Lindsay M can be contacted via phone (920) 787-6900.

Contact Information

Primary practice address
900 E Division St Wautoma WI 54982-6944
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9135 Wisconsin

Profile Details

NPI number 1508327412
LBN Legal business name Lyle, Lindsay M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2019
Last updated Nov 19th, 2021 - about 3 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 1508327412 NPPES
Wisconsin MEDICAID 100087122

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