Individual
MRS. LISA LYNN HAUGRUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11776 E BOLOGNESI RD, LAKE NEBAGAMON, WI 54849-9215
(218) 591-0249
Mailing address
11776 E BOLOGNESI RD, LAKE NEBAGAMON, WI 54849-9215
(218) 591-0249
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34407-31
WI
Other
Enumeration date
08/18/2019
Last updated
08/18/2019
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