Spannbauer, Lisa M

Spannbauer, Lisa M is an individual health care provider with primary practice located at 2085 N Calhoun Road Second Floor, Brookfield WI 53005. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Spannbauer, Lisa M can be contacted via phone (262) 827-9200.

Contact Information

Primary practice address
2085 N Calhoun Road Second Floor Brookfield WI 53005
Fax: (262) 827-8641
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4083-33 Wisconsin

Profile Details

NPI number 1043548365
LBN Legal business name Spannbauer, Lisa M
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2009
Last updated Aug 10th, 2010 - about 14 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 1043548365 NPPES
Illinois Other 041.380918 RN LICENSE
Illinois Other 209.007912 RN LICENSE
Illinois Other 4083-33 RN LICENSE
Illinois Other 149451-30 RN LICENSE

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