Individual
LISA MARIE LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3040 N 117TH ST STE 200, WAUWATOSA, WI 53222-4129
(414) 778-0070
Mailing address
3040 N 117TH ST STE 200, WAUWATOSA, WI 53222-4129
(414) 778-0070
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
9091-33
WI
Other
Enumeration date
02/26/2019
Last updated
03/07/2019
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