Individual
LISA MARIE VAN ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1616 HIGH POINT CIR, STOUGHTON, WI 53589-4911
(608) 332-9917
Mailing address
1616 HIGH POINT CIR, STOUGHTON, WI 53589-4911
(608) 332-9917
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
128618-30
WI
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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