Buenger, Lisa Constance

Buenger, Lisa Constance is an individual health care provider with primary practice located at 3605 Mayfair Ave , Hibbing MN 55746-2935. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Buenger, Lisa Constance can be contacted via phone (218) 262-3441.

Contact Information

Primary practice address
3605 Mayfair Ave Hibbing MN 55746-2935
Phone: (218) 262-3441
Fax: (218) 362-6170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 45789 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 43611 Minnesota

Profile Details

NPI number 1427161645
LBN Legal business name Buenger, Lisa Constance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Feb 22nd, 2017 - 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 1427161645 NPPES
Wisconsin MEDICAID 344453000
Wisconsin Other 203743000

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