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Search › Wisconsin › 104100000X

Lisa Thibodeau, 129741-121

NPI 1578929600 · on the registry since 2016

Practice

Address
1752 Dorset Ln
New Richmond, WI 54017
Phone
(715) 410-6772
Organisation at this address
St Croix County
St Croix County
St Croix County
St Croix County
St Croix County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-01-05

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