Provider Information for 1285037887
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LISA LOIS FUECHTMANN LCPC
Other Names:Former Name:LISA LOIS CUEVASSex: Female
NPI: 1285037887
Last Updated: 2025-03-21
Certification Date: 2025-03-21
Certification Date: 2025-03-21
Details
Name | Value | ||||||||||||
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NPI | 1285037887 | ||||||||||||
Enumeration Date | 2014-09-27 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 602 IVY CT ROUND LAKE BEACH, IL 60073-2223 United States Phone: 773-656-3484 | Fax: | ||||||||||||
Primary Practice Address | 4606 OLD GRAND AVE STE A2 GURNEE, IL 60031-2607 United States Phone: 773-656-3484 | Fax: | ||||||||||||
Secondary Practice Address(es) | 4039 FITZJAMES WALK | ||||||||||||
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