Crandall, Lisa A

Crandall, Lisa A is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Allergy/Immunology, Milwaukee WI 53226-4874. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Crandall, Lisa A can be contacted via phone (414) 266-6840.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Allergy/Immunology Milwaukee WI 53226-4874
Fax: (414) 266-6437
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2039 Wisconsin

Profile Details

NPI number 1295787729
LBN Legal business name Crandall, Lisa A
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 11th, 2024 - about 2 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 1295787729 NPPES
Wisconsin MEDICAID 1295787729

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