Kruse, Lisa Marie

Kruse, Lisa Marie is an individual health care provider with primary practice located at 4602 Eastpark Blvd , Madison WI 53718-2002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is her primary health care specialty. Kruse, Lisa Marie can be contacted via phone (608) 263-7540.

Contact Information

Primary practice address
4602 Eastpark Blvd Madison WI 53718-2002
Phone: (608) 263-7540
Fax: (608) 662-4545
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2009013401 Missouri
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2016-00271 North Carolina
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 67384 Wisconsin

Profile Details

NPI number 1891923777
LBN Legal business name Kruse, Lisa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2009
Last updated Jan 29th, 2021 - about 3 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 1891923777 NPPES
South Carolina MEDICAID NC2699
South Carolina MEDICAID 1891923777

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