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1841742004
LISA MARTIS
SHEBOYGAN, WI
NPI
1841742004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 6970 - 33)
Enumeration Date
2016-11-03
Last Update Date
2016-12-27
Business Address
-- LISA MARTIS APNP
3711 S TAYLOR DR SUITE 104
SHEBOYGAN, WI 53081-8495
Phone number: 920-457-2917
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Mailing Address
-- LISA MARTIS APNP
3711 S TAYLOR DR SUITE 104
SHEBOYGAN, WI 53081-8495
Phone number: 920-457-2917
Copy
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