Provider Demographics
NPI:1184658098
Name:TAYLOR, LONNA LEE (MS RN APNP)
Entity Type:Individual
Prefix:MS
First Name:LONNA
Middle Name:LEE
Last Name:TAYLOR
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Gender:F
Credentials:MS RN APNP
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Mailing Address - Street 1:111 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53095-2571
Mailing Address - Country:US
Mailing Address - Phone:262-338-2717
Mailing Address - Fax:262-338-9767
Practice Address - Street 1:111 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53095-2571
Practice Address - Country:US
Practice Address - Phone:262-338-2717
Practice Address - Fax:262-338-9767
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2018-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI965033363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health