Individual
MS. LISA K. STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 374-8000
(608) 373-8280
Mailing address
3400 E RACINE ST, JANESVILLE, WI 53546-2344
(608) 374-8000
(608) 373-8280
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4771-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61274
DEAN HEALTH INSURANCE
WI
Enumeration date
12/08/2011
Last updated
07/27/2012
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