Individual
LISA VOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3803 SPRING STREET, RACINE, WI 53405-2452
(262) 687-4201
Mailing address
3803 SPRING ST, MOUNT PLEASANT, WI 53405-1660
(262) 687-4201
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6741-33
WI
363LF0000X
Family Nurse Practitioner
Primary
209011844
IL
Other
Enumeration date
09/15/2014
Last updated
09/14/2016
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