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Lisa M Bender, LPN
General Practice Physician in Oregon, Wisconsin
NPI 1104458025

Lisa M Bender is a General Practice Physician based in Janesville, WI. Lisa M Bender practices in Oregon, WI and has the professional credentials of LPN. The NPI Number for Lisa M Bender is 1104458025 and holds a License No. 310675-31 (Wisconsin).

The current practice location address for Lisa M Bender is 213 Bergamont Blvd Apt 101, Oregon, WI and can be reached out via phone at 325-320-4165.

Location: 213 Bergamont Blvd Apt 101, Oregon, WI, 53545-4942
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104458025
Provider Name
Lisa M Bender
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
213 Bergamont Blvd Apt 101, Oregon, WI, 53545-4942
Phone Number
325-320-4165
Fax Number
Provider Enumeration Date
02/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
213 Bergamont Blvd Apt 101
City
Oregon
State
Wisconsin
Zip
53575-3722
Phone Number
325-320-4165
Fax Number
person
Provider Business Mailing Address Details
Address
213 Bergamont Blvd Apt 101
City
Oregon
State
Wisconsin
Zip
53575-3722
Phone Number
325-320-4165
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
310675-31 (Wisconsin)
Definition
Definition to come...
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