Individual
LISA M WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2395 W WASHINGTON ST STE 203C, WEST BEND, WI 53095-2147
(262) 353-5356
Mailing address
2395 W WASHINGTON ST STE 203C, WEST BEND, WI 53095-2147
(262) 353-5356
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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