Dr. Lisa M Stukenberg
Pediatrician
555 S 108th St
West Allis
, Wisconsin 53214-1100
Dr. Lisa M Stukenberg
Pediatrician
555 S 108th St
West Allis
, Wisconsin 53214-1100
(414) 566-3866
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Lisa M Stukenberg
- 555 S 108th St
- West Allis, WI
- Zip : 53214-1100
- Fax : (414) 566-3866
- Phone : (414) 566-6400
Second Address
- Dr. Lisa M Stukenberg
- 555 S 108th St
- West Allis, WI
- Zip : 53214-1100
- Fax : (414) 566-3866
- Phone : (414) 566-6400
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Is Dr. Lisa M Stukenberg a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 32382-020 | WI |
National Provider Identifier
| NPI | 1003883760 |
|---|---|
| Provider Name | Dr. Lisa M Stukenberg |
| First Address | West Allis, WI 53214-1100 |
| Second Address | West Allis, WI 53214-1100 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/03/2006 |
| Last Update Date | 08/07/2007 |
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.