Individual
MRS. LISA MAY FONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, APNP
Contact information
Practice address
835 S MAIN ST STE 1, OCONTO FALLS, WI 54154-1282
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4470-33
WI
Other
Enumeration date
07/25/2011
Last updated
05/03/2023
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