Lisa Marie Fargo, LPN
NPI #1609845692 in Mount Horeb, Wisconsin
Provider Information
- NPI Number
- 1609845692
- Entity Type
- Individual
- Name
- Lisa Marie Fargo, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Mar 14, 2006
- Last Updated
- Sep 6, 2007
Practice Location
- Address
- 334 JUSTIN DR
- City
- Mount Horeb
- State
- Wisconsin
- ZIP Code
- 53572-2199
- Phone
- (608) 437-4220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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