Individual
LISA KAYE SCHABACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
618 MEMORIAL DR, CHILTON, WI 53014
(920) 849-7734
Mailing address
618 MEMORIAL DR, CHILTON, WI 53014
(920) 849-7734
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
262433
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36002300
—
WI
Enumeration date
05/03/2006
Last updated
09/09/2008
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