Doctor Name: | MRS. LYNDA CELESTE LUTZKE |
NPI Number: | 1144292392 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 985-033 |
Business Practice Address: | S.76 W.19774 Sunny Hill Dr. Muskego, WI - 531509235 |
Business Phone Number: | 2626792399 |
Business Fax Number: | |
Mailing Address: | S.76 W.19774 Sunny Hill Dr., MUSKEGO |
State: | WI |
Postal Code: | 531509235 |
Phone Number: | 2626792399 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2006 |
NPI Last Update Date: | 07/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 985-033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |