Individual
LIZETTE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
842 N WESTHILL BLVD, APPLETON, WI 54914-5788
(920) 931-2601
Mailing address
240 E FRANCES ST, APPLETON, WI 54911-2973
(920) 716-3124
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
17214-146
WI
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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