All Medicaid billing entities listing KOSTECKI, LISA (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Wisconsin | 1 | $534.24 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CROSS PLAINS PHARMACY LLC | CROSS PLAINS, WI | Pharmacy | $534.24 |