LISA R WENGER

PEWAUKEE, WI
NPI1225592199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment
(Licence: WI  26572-81)
Enumeration Date2019-01-24
Last Update Date2019-01-24
Business Address
LISA R WENGER
W244N4850 SWAN RD
PEWAUKEE, WI 53072-1402
Phone number: 414-333-4128
Mailing Address
LISA R WENGER
W244N4850 SWAN RD
PEWAUKEE, WI 53072-1402
Phone number: 414-333-4128
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