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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LINDSEY JO PROVENZANO BURGESS, PA-C

Active

LINDSEY JO PROVENZANO BURGESS, PA-C is a Physician Assistant healthcare provider located in ELKHORN, Wisconsin. NPI 1992137012 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ELKHORN, WI

Registration Details

NPI Number
1992137012
Provider Type
Individual
Gender
Female
NPI Issued
Jul 31, 2013 (13.04191291841 yrs)
Last Updated
Jan 12, 2017
License
3195 (WI)

Practice Information

Address
201 E MORRISSEY DR
ELKHORN, WI, 531214395
Browse WI providers · Browse ZIP 53121
Phone
2627236666
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in ELKHORN, WI

Name Credential NPI
MS. LAURA M HOBBS PA-C 1164539789
MS. JANE PORATH PA-C 1023125333
HOLLY CROWLEY PA-C 1457791055
CORINNE M. HANSEN PA-C 1033518667
MRS. AMANDA J PIPP PA-C 1780068627
ALEXANDER JORDAN NEILS PA-C 1154980514
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.