LISA MARIA PHILLIPS

KENOSHA, WI
NPI1831851070
Former NameLISA MARIA PHILLIPS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  11220-33)
Enumeration Date2021-10-05
Last Update Date2021-10-05
Business Address
LISA MARIA PHILLIPS FNP
7005 55TH ST
KENOSHA, WI 53144-3759
Phone number: 262-237-4714
Mailing Address
LISA MARIA PHILLIPS FNP
7005 55TH ST
KENOSHA, WI 53144-3759
Phone number: 262-237-4714