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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA R WENGER

Active Sole Proprietor

LISA R WENGER is a Customized Equipment (DME) healthcare provider located in PEWAUKEE, Wisconsin. NPI 1225592199 is currently active in the NPPES registry. Verify at CMS.

Customized Equipment (DME) · PEWAUKEE, WI

Registration Details

NPI Number
1225592199
Provider Type
Individual
Gender
Female
NPI Issued
Jan 24, 2019 (7.563192721089 yrs)
Last Updated
Jan 24, 2019
License
26572-81 (WI)
Sole Proprietor
Yes

Practice Information

Address
W244N4850 SWAN RD
PEWAUKEE, WI, 530721402
Browse WI providers · Browse ZIP 53072
Phone
4143334128
Primary Specialty
Customized Equipment (DME)
332BC3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.