Individual
LISA FEDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
822 S HASTINGS WAY, EAU CLAIRE, WI 54701-3426
(715) 861-7901
(715) 861-7905
Mailing address
15735 W US HIGHWAY 63, HAYWARD, WI 54843-6475
(715) 934-0710
(715) 598-4881
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3681
WI
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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