Lisa Karen Dodge
NPI #1245563196 in Clear Lake, Wisconsin
Provider Information
- NPI Number
- 1245563196
- Entity Type
- Individual
- Name
- Lisa Karen Dodge
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Mechanotherapist
- Enumeration Date
- Sep 10, 2009
- Last Updated
- Sep 10, 2009
Practice Location
- Address
- 571 75TH ST
- City
- Clear Lake
- State
- Wisconsin
- ZIP Code
- 54005-3819
- Phone
- (715) 268-9006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Mechanotherapist |
| Point of Service |
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