Joerres, Lisa Marie

Joerres, Lisa Marie is an individual health care provider with primary practice located at 13950 W Capitol Dr Suite 200, Brookfield WI 53005-2441. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Joerres, Lisa Marie can be contacted via phone (262) 781-3065.

Contact Information

Primary practice address
13950 W Capitol Dr Suite 200 Brookfield WI 53005-2441
Fax: (262) 781-3835
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 53832 Wisconsin

Profile Details

NPI number 1629240536
LBN Legal business name Joerres, Lisa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2008
Last updated Apr 1st, 2014 - about 10 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 1629240536 NPPES
Wisconsin MEDICAID 1629240536

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