Individual
LISA HOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2842 S BUSINESS DR, SHEBOYGAN, WI 53081-6518
(920) 458-6527
Mailing address
2119 S 16TH ST, MANITOWOC, WI 54220-6445
(920) 629-1814
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319800
WI
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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