Individual
LISA BARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 12TH ST S, WISCONSIN RAPIDS, WI 54494-5038
(715) 424-1670
Mailing address
410 12TH ST S, WISCONSIN RAPIDS, WI 54494-5038
(715) 424-1670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
166515-30
WI
Other
Enumeration date
12/01/2013
Last updated
12/01/2013
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