Individual
MRS. LISA V. ROSENBLUM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
1217 ELIDA ST, JANESVILLE, WI 53545-1807
(608) 741-0726
Mailing address
1217 ELIDA ST, JANESVILLE, WI 53545-1807
(608) 741-0726
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38326800
—
WI
Enumeration date
03/15/2006
Last updated
07/09/2007
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