NPI 1699697847

Legacy of Four Sisters LLC

Organisation Driver Appleton, WI

Practice location

Address: N9351 S Lake Park Rd Unit 132, Appleton, WI 54915-9488
Phone: (920) 515-1534

Authorised official

Name: Dyna Ingabire
Title: Director
Phone: (920) 515-1534

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1699697847
Entity type: Organization
NPI issued: 29 Jul 2026
Record last updated: 9 Aug 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.