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Lisa Karen Dodge
Point of Service in Clear Lake, Wisconsin
NPI 1245563196

Lisa Karen Dodge is a Point of Service based in Clear Lake, WI. Lisa Karen Dodge practices in Clear Lake, WI. The NPI Number for Lisa Karen Dodge is 1245563196 and holds a License No. 3790-046 (Wisconsin).

The current practice location address for Lisa Karen Dodge is 571 75Th St, Clear Lake, WI and can be reached out via phone at 715-268-9006.

Location: 571 75Th St, Clear Lake, WI, 54005-3819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245563196
Provider Name
Lisa Karen Dodge
Credential
Provider Entity Type
Individual
Gender
Female
Address
571 75Th St, Clear Lake, WI, 54005-3819
Phone Number
715-268-9006
Fax Number
Provider Enumeration Date
09/10/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
571 75Th St
City
Clear Lake
State
Wisconsin
Zip
54005-3819
Phone Number
715-268-9006
Fax Number
person
Provider Business Mailing Address Details
Address
571 75Th St
City
Clear Lake
State
Wisconsin
Zip
54005-3819
Phone Number
715-268-9006
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Mechanotherapist
Speciality
-
Taxonomy
172M00000X
License No.
3790-046 (Wisconsin)
Definition
A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy.
person
Provider's Taxonomy Details 2
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
3790-046 (Wisconsin)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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