Individual
LISA MALMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
170717
WI
Other
Enumeration date
01/07/2015
Last updated
02/10/2026
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