Individual
LISA MARIE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 DE VALERA DR APT 101, PLATTEVILLE, WI 53818-1479
(608) 348-8369
Mailing address
360 E MINERAL ST, PLATTEVILLE, WI 53818-2721
(608) 348-2585
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35027900
BILLING PROVIDER'S MEDICA
WI
Enumeration date
06/15/2007
Last updated
07/30/2007
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