Antle, Lisa Lauren

Antle, Lisa Lauren is an sole proprietor health care provider with primary practice located at 3915 N Ridgefield Cir , Shorewood WI 53211-2451. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Antle, Lisa Lauren can be contacted via phone (414) 467-4162.

Contact Information

Primary practice address
3915 N Ridgefield Cir Shorewood WI 53211-2451
Phone: (414) 467-4162
Fax: (414) 906-1758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 2531-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X Wisconsin

Profile Details

NPI number 1629260716
LBN Legal business name Antle, Lisa Lauren
Credentials APRN/BC/APNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2007
Last updated Aug 13th, 2007 - about 17 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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