Individual
DEBRA LIESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
1407 SAINT ANDREW ST STE 100, LA CROSSE, WI 54603-2378
(608) 789-4812
Mailing address
810 LAKEVIEW DR, LA CROSSE, WI 54603-1037
(715) 896-3677
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
123070-30
WI
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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