Most Relevant Information
Provider Data
| NPI Number: | 1003011149 |
| Provider Name: | LISA MARIE NOSKOWIAK LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 32072-031 |
Most Important Dates
| Enumeration Date: | 06/19/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
N6185 SCHOOL CREEK TRAIL
LUXEMBURG
WI
54217
Practice Location Phone/Fax
| Phone: | 9208452128 |
| Fax: | 9208452128 |
Provider Mailing Location
3063 GLENDALE AVE
GREEN BAY
WI
54313
Provider Mailing Phone/Fax
| Phone: | 9204341045 |
| Fax: |