SearchWisconsin343800000X

Lissa Miller

NPI 1336705078 · on the registry since 2019 · sole proprietor

Practice

Address
615 Center St
Kewaunee, WI 54216
Phone
(920) 256-1470

Registry record

Primary taxonomy
343800000X
343800000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-05-17

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