Individual
LISA YANNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2814 S 108TH ST, WEST ALLIS, WI 53227-3224
(144) 885-3525
Mailing address
N64W24480 MAIN ST APT 1, SUSSEX, WI 53089-3051
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
236950
WI
Other
Enumeration date
01/27/2017
Last updated
07/15/2021
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