Individual
ANDREA M. LYSAGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-4990
(262) 245-2278
Mailing address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-4990
(262) 245-2278
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
155812-30
WI
363L00000X
Nurse Practitioner
Primary
7818-33
WI
Other
Enumeration date
08/08/2017
Last updated
07/21/2022
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