Individual
LISA DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
N74W24579 MERSKE CT, SUSSEX, WI 53089-4100
(262) 719-0840
Mailing address
N74W24579 MERSKE CT, SUSSEX, WI 53089-4100
(262) 719-0840
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
138996-30
WI
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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