Thomas, Lisa M

Thomas, Lisa M is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Cardiothoracic Surgery, Milwaukee WI 53226-3522. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Thomas, Lisa M can be contacted via phone (414) 955-6900.

Contact Information

Primary practice address
9200 W Wisconsin Ave Cardiothoracic Surgery Milwaukee WI 53226-3522
Phone: (414) 955-6900
Fax: (414) 955-6204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1327-023 Wisconsin

Profile Details

NPI number 1558324293
LBN Legal business name Thomas, Lisa M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Dec 8th, 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 1558324293 NPPES
Wisconsin MEDICAID 1558324293
Wisconsin MEDICAID 42995000
Wisconsin Other 970029876

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