Lisa M Bender, LPN

NPI #1104458025 in Oregon, Wisconsin

Provider Information

NPI Number: 1104458025
Entity Type: Individual
Name: Lisa M Bender, LPN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: LPN
Enumeration Date: Feb 8, 2020
Last Updated: Feb 8, 2020

Practice Location

Address: 213 BERGAMONT BLVD APT 101
City: Oregon
State: Wisconsin
ZIP Code: 53575-3722
Phone: (325) 320-4165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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