MRS. Lisa Christine Didier, M.S.E.S

NPI #1073370870 in Grafton, Wisconsin

Provider Information

NPI Number: 1073370870
Entity Type: Individual
Name: MRS. Lisa Christine Didier, M.S.E.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.S.E.S
Enumeration Date: Feb 28, 2024
Last Updated: Feb 28, 2024

Practice Location

Address: 1525 WISCONSIN AVE STE 146
City: Grafton
State: Wisconsin
ZIP Code: 53024-1995
Phone: (414) 367-9411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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