Peterson, Lisa M

Peterson, Lisa M is an individual health care provider with primary practice located at 945 N 12Th St , Milwaukee WI 53233-1305. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Peterson, Lisa M can be contacted via phone (414) 219-7370.

Contact Information

Primary practice address
945 N 12Th St Milwaukee WI 53233-1305
Phone: (414) 219-7370
Fax: (414) 219-7967
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 42769 Wisconsin
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 42769 Wisconsin
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 42769-21 Wisconsin

Profile Details

NPI number 1336131986
LBN Legal business name Peterson, Lisa M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jul 9th, 2022 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336131986 NPPES
Wisconsin MEDICAID 43548700

Popular Providers