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Individual
LISA E MISCHKE
Active
Individual
LISA E MISCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
209004607
IL
364S00000X
Clinical Nurse Specialist
309002118
IL
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
186207
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019543
KAISER COMMERICAL NUMBER
CO
01
—
K04028
MED B
IL
Enumeration date
08/15/2006
Last updated
06/13/2021
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