Individual
LISA A WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
1038 E GENEVA ST, DELAVAN, WI 53115-1921
(262) 728-4301
(262) 728-8304
Mailing address
1038 E GENEVA ST, DELAVAN, WI 53115-1921
(262) 728-4301
(262) 728-8304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5379-33
WI
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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