Individual
LISA RAE HOGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 524-2161
Mailing address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 524-2161
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3189
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
123240030 3189
WI
Other
Enumeration date
09/04/2007
Last updated
01/23/2023
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