Individual
LISA D RUBRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.
Contact information
Practice address
4261 LIEN RD, SUITE O, MADISON, WI 53704-3689
(608) 242-9273
(608) 242-9275
Mailing address
4261 LIEN RD, SUITE O, MADISON, WI 53704-3689
(608) 242-9273
(608) 242-9275
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO 002289
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO 002289
ORTHOTIST
WI
Enumeration date
07/21/2006
Last updated
04/16/2008
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