Individual
MRS. LESSA A BOBAK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RNRCS
Contact information
Practice address
1004 29TH AVE, MONROE, WI 53566-2223
(608) 329-6951
Mailing address
1004 29TH AVE, MONROE, WI 53566-2223
(608) 329-6951
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38266300
—
WI
Enumeration date
03/15/2006
Last updated
07/09/2007
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