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General NPI Number Information
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NPI Number | 1053553453
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Entity Type | Individual
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Provider Name | LISA CUDA MCCARRON
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Gender | Female
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Dates
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Enumeration Date | 03/31/2009
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Last Update Date | 02/01/2026
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Provider Practice Location Address
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Address Line | 5500 E CHERYL PKWY SUITE 103
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City | FITCHBURG
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State | WI
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Zip | 53711-5336
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Country | US
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Telephone | 608-273-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 8417 DOLOMITE LN
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City | MADISON
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State | WI
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Zip | 53719-4614
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Country | US
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Telephone | 608-848-1737
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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