Individual
DR. LISA ELLEN ROTH SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
100 LAFAYETTE ST, ROSENDALE, WI 54974-9661
(920) 872-2969
Mailing address
PO BOX 51, 100 LAFAYETTE STREET, ROSENDALE, WI 54974-0051
(920) 872-2969
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2604
WI
111N00000X
Chiropractor
2604012
WI
Other
Enumeration date
11/02/2006
Last updated
05/10/2012
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