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Individual

MRS. LISA D LOCKETT-NEUMUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6600
(414) 805-6622
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6600
(414) 805-6622

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4512
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100018560
WI
05
1821378647
WI
Enumeration date
08/24/2011
Last updated
04/07/2020
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