Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 3117 | WI |
N | 175F00000X | Naturopath | ||
N | 175L00000X | Homeopath |
NPI | 1548337926 |
---|---|
Provider Name | Dr. Lynn Renee Thompson |
First Address | Osseo, WI 54758-8826 |
Second Address | Osseo, WI 54758-8826 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 16/08/2010 |