Individual
MS. LISA HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7758 JANERO COURT SOUTH, COTTAGE GROVE, MN 55016
(651) 549-5023
Mailing address
16492 FIVE HAWKS W. SE, PRIOR LAKE, MN 55378
(952) 447-6732
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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