Knoblauch, Lisa R

Knoblauch, Lisa R is an individual health care provider with primary practice located at 4545 N 92Nd St , Wauwatosa WI 53225-4807. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Knoblauch, Lisa R can be contacted via phone (414) 847-3098.

Contact Information

Primary practice address
4545 N 92Nd St Wauwatosa WI 53225-4807
Fax:
Website:

Health care specialties

Profile Details

NPI number 1073734596
LBN Legal business name Knoblauch, Lisa R
Credentials MOTR
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Nov 21st, 2023 - about 3 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 1073734596 NPPES
Wisconsin MEDICAID 40895900

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