Individual
LISA ANN LADWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
400 S TOWNLINE RD, WAUTOMA, WI 54982-6922
(800) 942-5330
Mailing address
400 S TOWNLINE RD, WAUTOMA, WI 54982-6922
(800) 942-5330
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11905-33
WI
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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