Dr. Lisa Lynne Butenhoff Campbell
Dermatologist MOHS-Micrographic Surgeon
1400 Scheuring Rd
De Pere
, Wisconsin 54115-1067
Dr. Lisa Lynne Butenhoff Campbell
Dermatologist MOHS-Micrographic Surgeon
1400 Scheuring Rd
De Pere
, Wisconsin 54115-1067
(920) 684-1439
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Lisa Lynne Butenhoff Campbell
- 801 York St
- Manitowoc, WI
- Zip : 54220-4630
- Fax : (920) 684-1439
- Phone : (920) 663-9008
Second Address
- Dr. Lisa Lynne Butenhoff Campbell
- 1400 Scheuring Rd
- De Pere, WI
- Zip : 54115-1067
- Fax : (920) 686-9674
- Phone : (920) 964-0229
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FAQs
Where did Dr. Lisa Lynne Butenhoff Campbell attend graduate school?
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Is Dr. Lisa Lynne Butenhoff Campbell a sole practitioner?
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What languages does Dr. Lisa Lynne Butenhoff Campbell speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 50518-20 | WI |
| N | 207N00000X | Dermatologist | MD430734 | PA |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 4301105435 | MI |
National Provider Identifier
| NPI | 1124145040 |
|---|---|
| Provider Name | Dr. Lisa Lynne Butenhoff Campbell |
| First Address | Manitowoc, WI 54220-4630 |
| Second Address | De Pere, WI 54115-1067 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2007 |
| Last Update Date | 12/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1124145040 | (05) | WI |
| 171400016 | MEDICARE (01) | WI |
| 382000020 | MEDICARE (01) | WI |
| 50518-020 | STATE LICENSE (01) | WI |
| FC0175465 | DEA (01) | WI |
| P00720349 | RAILROAD MEDICARE (01) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.