Individual
MRS. LISA ANNE ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W289N8523 NORTHBAY RD, HARTLAND, WI 53029-9580
(262) 719-5990
Mailing address
W289N8523 NORTHBAY RD, HARTLAND, WI 53029-9580
(262) 719-5990
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
158744-30
WI
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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