Individual
KATHERINE LISIECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2611 12TH ST S, WISCONSIN RAPIDS, WI 54494-6445
(715) 421-8835
Mailing address
2611 12TH ST S, WISCONSIN RAPIDS, WI 54494-6445
(715) 421-8835
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
144703-30
WI
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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