Leanna, Lisa Marie

Leanna, Lisa Marie is an individual health care provider with primary practice located at 1566 W Mason St , Green Bay WI 54303-2274. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Leanna, Lisa Marie can be contacted via phone (920) 497-7944.

Contact Information

Primary practice address
1566 W Mason St Green Bay WI 54303-2274
Phone: (920) 497-7944
Fax: (920) 497-7877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 1275-060 Wisconsin

Profile Details

NPI number 1922278944
LBN Legal business name Leanna, Lisa Marie
Credentials HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2008
Last updated Mar 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922278944 NPPES
Wisconsin MEDICAID 42840000

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