Female

Paula Lin M.D.

Procedural Dermatology Physician in Fond Du Lac, WI(View on Map)

Full Name

Paula Lin M.D.

NPI Number

1942344346

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/18/2007

Specialties

(Taxonomies)

Code

207NS0135X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

52686-20

Contact
Information

Purpose

Mailing
Location

Address

801 YORK ST
111 WISCONSIN AMERICAN DR

City

Manitowoc
Fond Du Lac

State

WI
WI

Postal Code

54220-4630
54937-6725

Country

US
US

Telephone Number

(920) 683-5278
(920) 923-0788

Identifiers

Identifier

382000012
52686-020
1942344346
P00714750

Identifier State

WI
WI
WI
WI

Identifier Issuer

MEDICARE
STATE LICENSE
Unknown
RAILROAD MEDICARE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/07/2023

Provider Address