Dodge, Lisa Karen

Dodge, Lisa Karen is an sole proprietor health care provider with primary practice located at 571 75Th St , Clear Lake WI 54005-3819. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Mechanotherapist, Managed Care Organizations / Point of Service. Other Service Providers / Mechanotherapist is her primary health care specialty. Dodge, Lisa Karen can be contacted via phone (715) 268-9006.

Contact Information

Primary practice address
571 75Th St Clear Lake WI 54005-3819
Phone: (715) 268-9006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X 3790-046 Wisconsin
Managed Care Organizations / Point of Service 305S00000X 3790-046 Wisconsin

Profile Details

NPI number 1245563196
LBN Legal business name Dodge, Lisa Karen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2009
Last updated Sep 10th, 2009 - about 17 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.

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