Krueger, Lisa M.

Krueger, Lisa M. is an individual health care provider with primary practice located at 3150 Gershwin Dr , Green Bay WI 54311-4328. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Krueger, Lisa M. can be contacted via phone (920) 391-4740.

Contact Information

Primary practice address
3150 Gershwin Dr Green Bay WI 54311-4328
Phone: (920) 391-4740
Fax: (920) 391-4731
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X 00090636 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X C0501305 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X 4392-125 Wisconsin

Profile Details

NPI number 1457541716
LBN Legal business name Krueger, Lisa M.
Credentials LPC, CRC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2007
Last updated Jul 7th, 2022 - 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 1457541716 NPPES
Wisconsin MEDICAID 100010986

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