Provider Demographics
NPI:1588896831
Name:GARBISCH, LOIS M (ASSOCIATE DEGREE)
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:M
Last Name:GARBISCH
Suffix:
Gender:F
Credentials:ASSOCIATE DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 CLARK ST
Mailing Address - Street 2:
Mailing Address - City:GRANTON
Mailing Address - State:WI
Mailing Address - Zip Code:54436-7718
Mailing Address - Country:US
Mailing Address - Phone:715-238-7669
Mailing Address - Fax:
Practice Address - Street 1:1407 SAINT ANDREW ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54603-3301
Practice Address - Country:US
Practice Address - Phone:608-785-6266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI112454-030163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health