Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 5426-33 | WI |
NPI | 1023442605 |
---|---|
Provider Name | Daniel Kenneth Lemberger |
First Address | Neenah, WI 54956-3070 |
Second Address | Berlin, WI 54923-1243 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2013 |
Last Update Date | 26/02/2021 |