Individual
LISA FRIEDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
2309 GENEVA ST, RACINE, WI 53402-4515
(262) 989-8181
(262) 898-6358
Mailing address
2309 GENEVA ST, RACINE, WI 53402-4515
(262) 989-8181
(262) 898-6358
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
07048
PA
Other
Enumeration date
05/12/2007
Last updated
07/08/2007
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