Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA JAYNE KOENIG, BCHD, DDS, MS
ActiveDR. LISA JAYNE KOENIG, BCHD, DDS, MS is a Oral & Maxillofacial Pathology healthcare provider located in MILWAUKEE, Wisconsin. NPI 1518052174 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Pathology · MILWAUKEE, WI
Registration Details
- NPI Number
- 1518052174
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 3, 2006 (19.892546185106 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3846 (WI)
Practice Information
- Address
-
MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY1801 WEST WISCONSIN AVENUEMILWAUKEE, WI, 53233Browse WI providers · Browse ZIP 53233
- Phone
- 4142885675
- Fax
- 4142886081
- Primary Specialty
-
Oral & Maxillofacial Pathology
1223X0008X
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.