Cook, Lisa
Cook, Lisa is an individual health care provider with primary practice located at W129N7055 Northfield Dr Bldg A, Ste 203, Menomonee Falls WI 53051-0538. 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. Cook, Lisa can be contacted via phone (262) 253-7155.Contact Information
Primary practice address
W129N7055 Northfield Dr Bldg A, Ste 203
Menomonee Falls WI 53051-0538
Phone: (262) 253-7155
Fax: (262) 253-7140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2071 | Wisconsin |
Profile Details
| NPI number | 1003986316 |
|---|---|
| LBN Legal business name | Cook, Lisa |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Nov 4th, 2015 - about 9 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 | 1003986316 | NPPES |
| Wisconsin | MEDICAID | 1003986316 | |
| Wisconsin | Other | 1071974 |
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