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1013305481
LISA MALMO
LA CROSSE, WI
NPI
1013305481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 170717)
Enumeration Date
2015-01-07
Last Update Date
2021-03-22
Business Address
LISA MALMO
700 WEST AVE S
LA CROSSE, WI 54601-4783
Phone number: 608-785-0940
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Mailing Address
LISA MALMO
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 608-785-0940
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