Keller, Lisa

Keller, Lisa is an individual health care provider with primary practice located at 1675 Highland Ave Room P4 4118, Madison WI 53792-0002. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Keller, Lisa can be contacted via phone (608) 890-8198.

Contact Information

Primary practice address
1675 Highland Ave Room P4 4118 Madison WI 53792-0002
Phone: (608) 890-8198
Fax: (608) 265-9721
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 104212-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 97062 Wisconsin

Profile Details

NPI number 1316105075
LBN Legal business name Keller, Lisa
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated May 29th, 2008 - about 17 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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