| 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 |
| Remove 1710387972 NPI Number | |
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.
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