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Individual

LISA GENELL URBANIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP, RN

Contact information

Practice address
1611 S MADISON ST, APPLETON, WI 54915-1844
(920) 738-2000
Mailing address
1611 S MADISON ST, APPLETON, WI 54915-1844
(920) 738-2000

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
10917
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100187769
WI
Enumeration date
07/06/2021
Last updated
03/20/2026
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