Individual provider · Type 1 NPI

Lisa Anne Polkky, NP

Family Nurse Practitioner · Ironwood, MI

NPI number 1619385366 Active

Practice location

N10565 Grandview Ln
Ironwood, MI 49938-9622

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704215491 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1619385366

Lisa Anne Polkky, NP's National Provider Identifier is 1619385366, issued on Jul 25, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ironwood, MI. The record was last updated on Aug 18, 2014.