Individual
LISA M BENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
213 BERGAMONT BLVD APT 101, OREGON, WI 53575-3722
(325) 320-4165
Mailing address
1207 VISTA AVE, JANESVILLE, WI 53545-4942
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
310675-31
WI
Other
Enumeration date
02/08/2020
Last updated
02/08/2020
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