Individual
MRS. LISA CHRISTINE DIDIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.E.S
Contact information
Practice address
1525 WISCONSIN AVE STE 146, GRAFTON, WI 53024-1995
(414) 367-9411
Mailing address
1525 WISCONSIN AVE STE 146, GRAFTON, WI 53024-1995
(414) 367-9411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
UT
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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