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

LISA JO LIEDKE, APNP

Active

LISA JO LIEDKE, APNP is a Nurse Practitioner healthcare provider located in FOND DU LAC, Wisconsin. NPI 1336783042 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · FOND DU LAC, WI

Registration Details

NPI Number
1336783042
Provider Type
Individual
Gender
Female
NPI Issued
Nov 5, 2019 (6.7774219881104 yrs)
Last Updated
Nov 25, 2025
Licenses
9728 (WI)
9728 (WI)

Practice Information

Address
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI, 549372999
Browse WI providers · Browse ZIP 54937
Phone
9209077000
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in FOND DU LAC, WI

Name Credential NPI
MARY R KELM NP 1003802331
PATRICIA A MICHELS APNP 1346222627
LOUANN L BIDDICK NP 1770566721
THERESA J BASELEY NP 1043279805
LISA M PATTERSON APNP 1770514663
MS. GRETA M KOSTAC APNP 1841307386
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.