NPI

Marissa Lynch

NPI 1790460632

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2023-06-19
Last updated
2023-09-05

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Specialties

Licenses

License WI
14351
License IA
A174764

Location

Practice location
770 Lincoln Ave Ste 5
City
Fennimore WI
Postal code
53809-1563
Phone
(608) 485-1352

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Fennimore, WI. 55 records in the public file.

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