Lisa Marie Fontanini
NPI #1922798701 in Long Grove, Illinois
Provider Information
- NPI Number
- 1922798701
- Entity Type
- Individual
- Name
- Lisa Marie Fontanini
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- May 15, 2023
- Last Updated
- Sep 4, 2025
Practice Location
- Address
- 3880 SALEM LAKE DR STE F
- City
- Long Grove
- State
- Illinois
- ZIP Code
- 60047-5292
- Phone
- (847) 719-2220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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