Individual
LISA KEILLOR COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
6630 UNIVERSITY AVE, MIDDLETON, WI 53562-3036
(608) 263-8412
(608) 263-5011
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3821-33
WI
Other
Enumeration date
08/28/2009
Last updated
01/20/2021
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