Nicole Lemmens, PA-C
Physician Assistant in Green Bay, WI. Individual provider (NPI-1).
NPI number1164094447
StatusActive
Last updated in NPPESJul 15, 2021
Details
- NPI
- 1164094447
- Entity type
- Individual (NPI-1)
- Name
- Nicole Lemmens
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2021
- Certification date
- Jul 14, 2021
- Last updated
- Jul 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5487-23 | WI | Yes |
Practice location
1726 Shawano AveGreen Bay, WI 54303-3216
Phone 920-360-6194
Mailing address
2866 Apple Ridge CtGreen Bay, WI 54311-4101
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