Individual
LISA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
W20410 STATE ROAD 121, WHITEHALL, WI 54773-9147
(715) 538-4312
(715) 538-9131
Mailing address
W20410 STATE ROAD 121, WHITEHALL, WI 54773-9147
(715) 538-4312
(715) 538-9131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
262485-30
WI
164W00000X
Licensed Practical Nurse
326232
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
08/16/2021
Last updated
10/15/2021
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