Provider Demographics
NPI:1366885279
Name:STREMER, LYNETTE ENDRES (LPN)
Entity type:Individual
Prefix:
First Name:LYNETTE
Middle Name:ENDRES
Last Name:STREMER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6285 SCHUMACHER RD
Mailing Address - Street 2:
Mailing Address - City:WAUNAKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53597-9564
Mailing Address - Country:US
Mailing Address - Phone:608-445-2817
Mailing Address - Fax:
Practice Address - Street 1:6285 SCHUMACHER RD
Practice Address - Street 2:
Practice Address - City:WAUNAKEE
Practice Address - State:WI
Practice Address - Zip Code:53597-9564
Practice Address - Country:US
Practice Address - Phone:608-445-2817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-10
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16701-31164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse