Individual
LISA HAWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
126 WEYBRIDGE DR, SUN PRAIRIE, WI 53590-4560
(608) 957-3857
Mailing address
126 WEYBRIDGE DR, SUN PRAIRIE, WI 53590-4560
(608) 957-3857
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
190505-30
WI
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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