| Doctor Name: | LYNSEA MONIEN |
| NPI Number: | 1043676356 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 6390 |
| Business Practice Address: | W3985 County Road Nn Elkhorn, WI - 531214337 |
| Business Phone Number: | 2627412000 |
| Business Fax Number: | |
| Mailing Address: | W3985 County Road Nn, ELKHORN |
| State: | WI |
| Postal Code: | 531214337 |
| Phone Number: | 2627412000 |
| Fax Number: | |
| NPI Enumeration Date: | 01/04/2016 |
| NPI Last Update Date: | 01/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 6390 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |