LISA DANITA ETTIENNE

MILWAUKEE, WI
NPI1568036630
Former NameLISA DANITA PAYNE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  F04210251)
Enumeration Date2021-05-13
Last Update Date2021-05-13
Business Address
Dr. LISA DANITA ETTIENNE DNP
4375 N 53RD ST
MILWAUKEE, WI 53216-1356
Phone number: 414-462-8350
Mailing Address
Dr. LISA DANITA ETTIENNE DNP
4375 N 53RD ST
MILWAUKEE, WI 53216-1356
Phone number: 414-462-8350
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