NPI Details | |
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NPI | 1710387972 |
Gender | Female |
Enumeration Date | 08/25/2014 |
Last Updated | 09/25/2014 |
Entity Type | Individual |
Active | Over 3 years ago |
Practice Location | |
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3201 S 16TH ST STE 2015 MILWAUKEE WI, 53215-4532, US |
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Phone | (414) 649-3810 |
Fax |
Business Location | |
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PO BOX 070520 MILWAUKEE WI, 53207-0520, US |
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Phone | (414) 649-3810 |
Fax |
Toxanomy | |
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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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