Frisque, Lisa M

Frisque, Lisa M is an individual health care provider with primary practice located at 1910 Alabama St , Sturgeon Bay WI 54235-3532. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Frisque, Lisa M can be contacted via phone (920) 746-7200.

Contact Information

Primary practice address
1910 Alabama St Sturgeon Bay WI 54235-3532
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 405933 Wisconsin

Profile Details

NPI number 1700066685
LBN Legal business name Frisque, Lisa M
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2007
Last updated Nov 19th, 2021 - about 5 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 1700066685 NPPES
Wisconsin MEDICAID 38321300

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