Foley, Lisa Rochelle

Foley, Lisa Rochelle is an individual health care provider with primary practice located at 3522 W Lisbon Ave , Milwaukee WI 53208. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Foley, Lisa Rochelle can be contacted via phone (414) 935-8000.

Contact Information

Primary practice address
3522 W Lisbon Ave Milwaukee WI 53208
Phone: (414) 935-8000
Fax: (414) 935-8011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 5796-16 Wisconsin

Profile Details

NPI number 1679746655
LBN Legal business name Foley, Lisa Rochelle
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2008
Last updated May 30th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679746655 NPPES
Wisconsin MEDICAID 33810800

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