Individual
MARCY D LISOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
191 THEATER RD, ONALASKA, WI 54650
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9180
MN
363A00000X
Physician Assistant
Primary
971
WI
Other
Enumeration date
11/28/2005
Last updated
03/23/2022
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