Individual
LISA MARIE ESQUEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 N 66TH ST, MILWAUKEE, WI 53213-4057
(414) 530-4617
Mailing address
509 N 66TH ST, MILWAUKEE, WI 53213-4057
(414) 530-4617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38342400
—
WI
Enumeration date
04/15/2008
Last updated
04/15/2008
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