Provider Demographics
NPI:1548337926
Name:THOMPSON, LYNN RENEE (DC, NMD, HMD)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:RENEE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:DC, NMD, HMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:E10834 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:OSSEO
Mailing Address - State:WI
Mailing Address - Zip Code:54758-8826
Mailing Address - Country:US
Mailing Address - Phone:715-597-3478
Mailing Address - Fax:
Practice Address - Street 1:E10834 PARK AVE
Practice Address - Street 2:
Practice Address - City:OSSEO
Practice Address - State:WI
Practice Address - Zip Code:54758-8826
Practice Address - Country:US
Practice Address - Phone:715-456-6734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3117111N00000X
175L00000X, 175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No175L00000XOther Service ProvidersHomeopath
No175F00000XOther Service ProvidersNaturopath