Individual
MRS. LISA ANN BOURQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-APNP
Contact information
Practice address
1 MEDICAL CENTER DR, GALENA, IL 61036-8118
(815) 777-1340
Mailing address
800 CLAY ST, DARLINGTON, WI 53530-1228
(608) 776-3614
(608) 776-2317
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77653-33
WI
Other
Enumeration date
07/13/2017
Last updated
01/18/2024
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