Search › Wisconsin › 103TC0700X
Lydia Haker
NPI 1245759190 · on the registry since 2017
Practice
- Address
- 1118 Twilight Dr
De Pere, WI 54115 - Phone
- (715) 966-3596
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 101YP2500X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin