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Individual

MS. LISA A O'BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
200 E RYAN RD, OAK CREEK, WI 53154-4563
(414) 570-3590
Mailing address
200 E RYAN RD, OAK CREEK, WI 53154-4563
(414) 570-3590

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1924
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42876500
WI
Enumeration date
05/19/2006
Last updated
07/21/2022
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