LISA JO LIEDKE

FOND DU LAC, WI
NPI1336783042
Former NameLISA JO LEFEBER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  9728)
Additional Taxonomies363LX0106X Nurse Practitioner, Occupational Health
(Licence: WI  9728)
Enumeration Date2019-11-05
Last Update Date2025-11-25
Business Address
LISA JO LIEDKE APNP
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54937-2999
Phone number: 920-907-7000
Mailing Address
LISA JO LIEDKE APNP
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250