Individual
LISA HOLLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
S2124 PINE VIEW CT, BARABOO, WI 53913-8700
(608) 432-1102
Mailing address
S2124 PINE VIEW CT, BARABOO, WI 53913-8700
(608) 432-1102
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
139554-30
WI
251J00000X
Nursing Care Agency
Primary
139554-30
WI
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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