Individual
LISA ELIZABETH KNUDTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(608) 782-7300
Mailing address
11693 CTY HIGHWAY B, SPARTA, WI 54656
(608) 769-5572
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10384-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10384-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10384-33
WISCONSIN NP LICENSE
WI
Enumeration date
09/22/2020
Last updated
02/24/2026
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