Individual
MRS. LISA LEE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
13111 N PORT WASHINGTON RD, MEQUON, WI 53097-2416
(262) 243-7376
Mailing address
406 CRESCENT LN, THIENSVILLE, WI 53092-1347
(262) 238-0359
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
725446
WI
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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