Individual
LOIS HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12800 N LAKE SHORE DR, MEQUON, WI 53097-2418
(262) 243-4468
Mailing address
1830 W WAYSIDE DR, GLENDALE, WI 53209-2179
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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