Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 44441 | WI |
NPI | 1144337759 |
---|---|
Provider Name | Dr. Lisa L Harshbarger |
First Address | Milwaukee, WI 53215-2843 |
Second Address | Summit, WI 53066-4899 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 02/12/2021 |