Mya Amalie Lonnebotn is a student in an organized health care education training program in Merrimac, WI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Mya Amalie Lonnebotn NPI is 1982337432. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
S7708A LUCILLE LN
MERRIMAC, WI
ZIP 53561-567
Phone: (608) 239-9073
The enumeration date for this NPI number is 7/1/2022 and was last updated on 7/1/2022.