| Doctor Name: | MRS. LYNN ANN FREDRICKSON |
| NPI Number: | 1821192444 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | |
| Business Practice Address: | 15134 Washington Ave Union Grove, WI - 53182 |
| Business Phone Number: | 2628352019 |
| Business Fax Number: | |
| Mailing Address: | 15134 Washington Ave, UNION GROVE |
| State: | WI |
| Postal Code: | 53182 |
| Phone Number: | 2628352019 |
| Fax Number: | |
| NPI Enumeration Date: | 09/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |