Caravella, Lisa

Caravella, Lisa is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Dept Of Obstetrics And Gynecoloigy, Milwaukee WI 53226-3522. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Caravella, Lisa can be contacted via phone (414) 805-6600.

Contact Information

Primary practice address
9200 W Wisconsin Ave Dept Of Obstetrics And Gynecoloigy Milwaukee WI 53226-3522
Phone: (414) 805-6600
Fax: (414) 805-6622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6814 Wisconsin

Profile Details

NPI number 1013364918
LBN Legal business name Caravella, Lisa
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2016
Last updated Nov 26th, 2019 - about 7 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 1013364918 NPPES
Wisconsin MEDICAID 1013364918

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