Individual
LISA KASPEREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1186 APPLETON RD, MENASHA, WI 54952-1906
(920) 727-8733
Mailing address
1186 APPLETON RD, MENASHA, WI 54952-1906
(920) 727-8733
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
130194
WI
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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