Individual
MRS. LISA MICHELLE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P-C
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-5805
(414) 384-2000
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-5805
(414) 384-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5148-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500E012730
BCBS GROUP NUMBER
MI
Enumeration date
03/28/2012
Last updated
10/31/2016
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