Individual
LISA HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
508 STOCKTRAIL AVE STE D, GILLETTE, WY 82716-3582
(307) 688-8000
Mailing address
14 STINSON RD, ROZET, WY 82727-8470
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1159
—
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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