Individual
LISA LOUISE MASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1407 ST ANDREWS ST, STE 100, LA CROSSE, WI 54603-7981
(608) 525-3478
Mailing address
N26111 LEQUE LN, ETTRICK, WI 54627-7981
(608) 525-3478
(608) 525-3478
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
8881-120
WI
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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