Individual
MRS. TINA MARIE GEROVAC-LAVASSEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN
Contact information
Practice address
53585 NOKOMIS RD, ASHLAND, WI 54806-4272
(715) 682-7133
Mailing address
1414 6TH ST E, ASHLAND, WI 54806-2128
(715) 292-2527
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
154977
WI
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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