Individual
LISA ANNE GARTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
N750 DOUG BLEGEN DR, SPRING VALLEY, WI 54767-8806
(715) 778-4301
Mailing address
1050 COUNTY ROAD D, WOODVILLE, WI 54028-7116
(715) 698-2742
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
33249-31
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38328300
PROVIDER NUMBER
WI
Enumeration date
02/26/2007
Last updated
07/08/2007
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