Individual
LISA MARIE LOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5104 294TH AVE., SALEM, WI 53168
(262) 994-3094
Mailing address
5104 294TH AVE., SALEM, WI 53168
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13422430
WI
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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