Individual
LISA WANLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27160 MAPLE RIDGE LN, RICHLAND CENTER, WI 53581-8727
(608) 604-9611
Mailing address
27160 MAPLE RIDGE LN, RICHLAND CENTER, WI 53581-8727
(608) 604-9611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
125845-30
WI
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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