Lisa Maas

NPI 1710387972 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1710387972
Gender Female
Enumeration Date 08/25/2014
Last Updated 09/25/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
3201 S 16TH ST STE 2015
MILWAUKEE WI, 53215-4532, US
Phone (414) 649-3810
Fax
Business Location
PO BOX 070520
MILWAUKEE WI, 53207-0520, US
Phone (414) 649-3810
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State Wisconsin
License Number 5976-33
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According to our database, Lisa Maas NPI is 1710387972, taxonomy code is 363LA2100X and license number is 5976-33, license state is located at Wisconsin. Lisa Maas physically located at 3201 S 16th St Ste 2015, Milwaukee WI, 53215-4532. NPI Number Lisa Maas has the Individual type.

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1710387972 NPI number is provided on an as is basis without warranty of any kind. 1710387972 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Maas are for informational purposes only.