Individual
LISET HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 W ORCHARD ST, MILWAUKEE, WI 53204-2957
(414) 647-7466
Mailing address
309 WEST BLVD, RACINE, WI 53405-2144
(262) 613-8970
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14641
WI
Other
Enumeration date
11/30/2023
Last updated
04/12/2024
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