Erickson, Lisa K

Erickson, Lisa K is an individual health care provider with primary practice located at 565 Milwaukee Ave Ste 3C , Burlington WI 53105-1254. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Erickson, Lisa K can be contacted via phone (262) 757-0016.

Contact Information

Primary practice address
565 Milwaukee Ave Ste 3C Burlington WI 53105-1254
Phone: (262) 757-0016
Fax: (262) 757-0018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3577 Wisconsin

Profile Details

NPI number 1316057680
LBN Legal business name Erickson, Lisa K
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 8th, 2021 - about 4 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 1316057680 NPPES
Wisconsin MEDICAID 39788600

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