Individual
LAQUISHA M STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1650 LEE LANE, BELOIT, WI 53511
(608) 364-2200
(608) 364-5452
Mailing address
1969 WEST HART RD, BELOIT, WI 53511-2283
(608) 364-5689
(608) 364-5452
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
209018312
IL
363L00000X
Nurse Practitioner
209018312
IL
363L00000X
Nurse Practitioner
Primary
9900-33
WI
Other
Enumeration date
10/17/2018
Last updated
10/13/2021
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