Lisa Fowlkes, ATHLETIC TRAINER

NPI #1548079619 in Oregon, Wisconsin

Provider Information

NPI Number
1548079619
Entity Type
Individual
Name
Lisa Fowlkes, ATHLETIC TRAINER
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATHLETIC TRAINER
Enumeration Date
Jan 3, 2025
Last Updated
Jan 3, 2025

Practice Location

Address
926 HARDING ST
City
Oregon
ZIP Code
53575-2858
Phone
(414) 232-7850

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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