Lang, Lisa

Lang, Lisa is an sole proprietor health care provider with primary practice located at 14135 North Cedarburg Road , Mequon WI 53097. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist is her primary health care specialty. Lang, Lisa can be contacted via phone (414) 702-2324.

Contact Information

Primary practice address
14135 North Cedarburg Road Mequon WI 53097
Phone: (414) 702-2324
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 51-036 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 51-036 Wisconsin

Profile Details

NPI number 1902985922
LBN Legal business name Lang, Lisa
Credentials MS, ATRL-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2006
Last updated Jun 16th, 2018 - about 8 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 1902985922 NPPES
Other 1952808701 NPI #2/ORGANIZATION NPI #
Other 1902985922 NPI #2/ORGANIZATION NPI #
Other 01-226 NPI #2/ORGANIZATION NPI #
Other 51-036 NPI #2/ORGANIZATION NPI #
MEDICAID 40961100 NPI #2/ORGANIZATION NPI #

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