Individual
MS. LISA A GRABER
Active
Individual
MS. LISA A GRABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
119115
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
2414
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002806261E
HUMANA
—
05
—
1942251798
—
WI
Enumeration date
05/15/2006
Last updated
10/11/2013
Update your record
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