Kong, Lance

Kong, Lance is an individual health care provider with primary practice located at 2900 W Oklahoma Ave , Milwaukee WI 53215. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Kong, Lance can be contacted via phone (414) 649-6000.

Contact Information

Primary practice address
2900 W Oklahoma Ave Milwaukee WI 53215
Phone: (414) 649-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 117 Wisconsin

Profile Details

NPI number 1942793245
LBN Legal business name Kong, Lance
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2018
Last updated Dec 8th, 2021 - about 4 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 1942793245 NPPES
Wisconsin MEDICAID 100080994

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