Lesage, Susan Elizabeth

Lesage, Susan Elizabeth is an individual health care provider with primary practice located at 9455 W Watertown Plank Rd , Wauwatosa WI 53226-3559. 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. Lesage, Susan Elizabeth can be contacted via phone (414) 257-7583.

Contact Information

Primary practice address
9455 W Watertown Plank Rd Wauwatosa WI 53226-3559
Phone: (414) 257-7583
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 753-026 Wisconsin

Profile Details

NPI number 1265609986
LBN Legal business name Lesage, Susan Elizabeth
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2008
Last updated May 12th, 2008 - about 18 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 1265609986 NPPES
Wisconsin MEDICAID 40638400

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