Palmer, Lisa C

Palmer, Lisa C is an individual health care provider with primary practice located at 2060 Bellevue St , Green Bay WI 54311-5622. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Palmer, Lisa C can be contacted via phone (920) 965-0606.

Contact Information

Primary practice address
2060 Bellevue St Green Bay WI 54311-5622
Fax: (920) 965-0607
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 63183 Wisconsin

Profile Details

NPI number 1972628162
LBN Legal business name Palmer, Lisa C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Nov 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972628162 NPPES
West Virginia MEDICAID 3810008325

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