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NPI Code Detail

MEDICARE: LENA DIMATTEO APNP

MEDICARE:   LENA  DIMATTEO  APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner9052-33WI

General Provider Information

NPI Number : 1427514132
Entity Type Code : Individual
Provider Name (Legal Business Name) : LENA DIMATTEO APNP
Provider Business Mailing Address
First Line : 1716 LAWRENCE DR STE 103
Second Line :
City : DE PERE
State : WI
Zip : 54115-9108
Country : US
Telephone Number : 920-632-6800
Fax Number : 920-632-6806
Provider Business Practice Location Address
First Line : 1716 LAWRENCE DR STE 103
Second Line :
City : DE PERE
State : WI
Zip : 54115-9108
Country : US
Telephone Number : 920-632-6800
Fax Number : 920-632-6806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2019
Last Update Date : 12/11/2025

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Directions to “ LENA DIMATTEO APNP” Practice Location

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