Individual
LISA BRUZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4961 RICE LAKE RD STE 105, DULUTH, MN 55803-8439
(218) 727-4105
Mailing address
5518 OAKES AVE, SUPERIOR, WI 54880-5763
(218) 349-2205
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
226069-9
MN
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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