Individual
LISA M HAAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 WESTERN AVE, COLUMBUS, WI 53925-1675
(920) 623-2520
Mailing address
142 W MAIN ST, DANE, WI 53529-9796
(608) 206-6110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1095-019
WI
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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