Lisak, Alicja D

Lisak, Alicja D is an individual health care provider with primary practice located at W129N7055 Northfield Dr , Menomonee Falls WI 53051-0538. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lisak, Alicja D can be contacted via phone (262) 253-5400.

Contact Information

Primary practice address
W129N7055 Northfield Dr Menomonee Falls WI 53051-0538
Phone: (262) 253-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 204136 New York

Profile Details

NPI number 1295737823
LBN Legal business name Lisak, Alicja D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Aug 5th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295737823 NPPES
Wisconsin MEDICAID 1295737823

Popular Providers