Lisa Lynn Haugrud, LPN
Licensed Practical Nurse in Lake Nebagamon, WI. Individual provider (NPI-1).
NPI number1831745520
StatusActive
Last updated in NPPESAug 18, 2019
Details
- NPI
- 1831745520
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lisa Lynn Haugrud
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2019
- Last updated
- Aug 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 34407-31 | WI | Yes |
Practice location
11776 E Bolognesi RdLake Nebagamon, WI 54849-9215
Phone 218-591-0249
Mailing address
11776 E Bolognesi RdLake Nebagamon, WI 54849-9215
Phone 218-591-0249
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