Individual
LISA C HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1020 N 12TH ST, 1ST FLOOR, MILWAUKEE, WI 53233-1308
(414) 219-5800
Mailing address
1026 LAKELAND RD, GRAFTON, WI 53024-9324
(262) 376-9980
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
79652-032
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39903500
—
WI
Enumeration date
07/10/2006
Last updated
07/08/2007
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