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
Phone: (920) 746-7200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700066685 | NPPES |
| Wisconsin | MEDICAID | 38321300 |
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