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Lisa R Wenger
Customized Equipment (DME) in Pewaukee, Wisconsin
NPI 1225592199

Lisa R Wenger is a Customized Equipment (DME) based in Pewaukee, WI and is specialized in Customized Equipment. Lisa R Wenger practices in Pewaukee, WI. The NPI Number for Lisa R Wenger is 1225592199 and holds a License No. 26572-81 (Wisconsin).

The current practice location address for Lisa R Wenger is W244N4850 Swan Rd, Pewaukee, WI and can be reached out via phone at 414-333-4128.

Location: W244N4850 Swan Rd, Pewaukee, WI, 53072-1402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225592199
Provider Name
Lisa R Wenger
Credential
Provider Entity Type
Individual
Gender
Female
Address
W244N4850 Swan Rd, Pewaukee, WI, 53072-1402
Phone Number
414-333-4128
Fax Number
Provider Enumeration Date
01/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
W244N4850 Swan Rd
City
Pewaukee
State
Wisconsin
Zip
53072-1402
Phone Number
414-333-4128
Fax Number
person
Provider Business Mailing Address Details
Address
W244N4850 Swan Rd
City
Pewaukee
State
Wisconsin
Zip
53072-1402
Phone Number
414-333-4128
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
26572-81 (Wisconsin)
Definition
Definition to come...
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