Most Relevant Information
Provider Data
| NPI Number: | 1003684580 |
| Provider Name: | LISA ANN ROLLIN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 154768 |
Most Important Dates
| Enumeration Date: | 12/14/2023 |
| Last Updated: | 12/14/2023 |
Provider Practice Location
571 COUNTY ROAD A
GREEN LAKE
WI
549418630
Practice Location Phone/Fax
| Phone: | 9202944070 |
| Fax: | 9202944139 |
Provider Mailing Location
571 COUNTY ROAD A
GREEN LAKE
WI
549418630
Provider Mailing Phone/Fax
| Phone: | 9202944070 |
| Fax: | 9202944139 |