Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Malmo

Individual provider Nurse Practitioner · NPI 1013305481

Lisa Malmo is a Nurse Practitioner in LA Crosse, Wisconsin. Qualified in 2014, 12 years ago. Practices with Mayo Clinic Health System-Southwest Wisconsin Region Inc, a 552-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2015
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Practice location Address checks out

700 W Ave S
LA Crosse, WI 54601-4783
Phone: (608) 785-0940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 170717 (WI)

Record details

NPI number1013305481
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 7, 2015
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address200 1st St Sw, Rochester, MN 55905-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mayo Clinic Health System-Southwest Wisconsin Region Inc — 552 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in LA Crosse