Brown, Lisette C
Brown, Lisette C is an individual health care provider with primary practice located at 421 Camelot Dr , Fond Du Lac WI 54935. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brown, Lisette C can be contacted via phone (920) 926-8500.Contact Information
Primary practice address
421 Camelot Dr
Fond Du Lac WI 54935
Phone: (920) 926-8500
Fax: (920) 926-8983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1623023 | Wisconsin |
Profile Details
| NPI number | 1578597035 |
|---|---|
| LBN Legal business name | Brown, Lisette C |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Apr 14th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578597035 | NPPES |
| Wisconsin | MEDICAID | 41993300 |
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