Graber, Lisa A

Graber, Lisa A is an individual health care provider with primary practice located at 9200 W Wisconsin Ave General Surgery, Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Graber, Lisa A can be contacted via phone (414) 805-5806.

Contact Information

Primary practice address
9200 W Wisconsin Ave General Surgery Milwaukee WI 53226-3522
Phone: (414) 805-5806
Fax: (414) 805-5934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 119115 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2414 Wisconsin

Profile Details

NPI number 1942251798
LBN Legal business name Graber, Lisa A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Oct 11th, 2013 - about 13 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 1942251798 NPPES
Other 002806261E HUMANA
MEDICAID 1942251798 HUMANA

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