Individual
LISA M KOEPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., B.S.N.
Contact information
Practice address
1407 SAINT ANDREW ST, SUITE 100, LA CROSSE, WI 54603-3301
(877) 785-6266
Mailing address
N5451 BACHELORS AVE, NEILLSVILLE, WI 54456-8844
(715) 743-6874
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
144677-030
WI
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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