Individual
LISA ANN TESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2257 BLUE SKY WAY, MOSINEE, WI 54455-1886
(715) 551-9640
Mailing address
2257 BLUE SKY WAY, MOSINEE, WI 54455-1886
(715) 551-9640
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
190606-30
WI
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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