Wenzel, Lisa A

Wenzel, Lisa A is an individual health care provider with primary practice located at 2501 W Beltline Hwy Suite 207, Madison WI 53713-2318. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist, which is considered as her primary health care specialty. Wenzel, Lisa A can be contacted via phone (608) 417-6102.

Contact Information

Primary practice address
2501 W Beltline Hwy Suite 207 Madison WI 53713-2318
Phone: (608) 417-6102
Fax: (608) 417-5770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist 224Y00000X

Profile Details

NPI number 1285948315
LBN Legal business name Wenzel, Lisa A
Credentials M.S., CES
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2010
Last updated Oct 5th, 2011 - about 15 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 1285948315 NPPES
Wisconsin MEDICAID 11001700

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