Knudtson, Lisa Elizabeth

Knudtson, Lisa Elizabeth is an individual health care provider with primary practice located at 1900 South Ave , La Crosse WI 54601-5467. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Knudtson, Lisa Elizabeth can be contacted via phone (608) 782-7300.

Contact Information

Primary practice address
1900 South Ave La Crosse WI 54601-5467
Phone: (608) 782-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 10384-33 Wisconsin

Profile Details

NPI number 1801402193
LBN Legal business name Knudtson, Lisa Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2020
Last updated Sep 22nd, 2020 - 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 1801402193 NPPES
Wisconsin Other 10384-33 WISCONSIN NP LICENSE

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