Individual
LISA ANN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
818 JONES ST, WATERTOWN, WI 53094-3924
(920) 262-0705
Mailing address
818 JONES ST, WATERTOWN, WI 53094-3924
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
106512
WI
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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