Individual
MRS. LISA MARY MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
348 DOERSCH TRL, SEYMOUR, WI 54165-1466
(920) 833-9311
Mailing address
348 DOERSCH TRL, SEYMOUR, WI 54165-1466
(920) 833-9311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
15977030
WI
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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