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Dr. Lisa Gustine Kornely, DPM
Durable Medical Equipment & Medical Supplies in West Bend, Wisconsin
NPI 1699732461

Lisa Gustine Kornely is a Durable Medical Equipment & Medical Supplies based in West Bend, WI. Lisa Gustine Kornely practices in West Bend, WI and has the professional credentials of DPM. The NPI Number for Lisa Gustine Kornely is 1699732461 and holds a License No. 774-025 (Wisconsin).

The current practice location address for Lisa Gustine Kornely is 2358 W Washington St, West Bend, WI and can be reached out via phone at 262-335-2930 and via fax at 262-335-2931.

Location: 2358 W Washington St, West Bend, WI, 53095-2118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699732461
Provider Name
Lisa Gustine Kornely
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
2358 W Washington St, West Bend, WI, 53095-2118
Phone Number
262-335-2930
Fax Number
262-335-2931
Provider Enumeration Date
04/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43225400 05 WI
institution
Provider Business Practice Location Address Details
Address
2358 W Washington St
City
West Bend
State
Wisconsin
Zip
53095-2118
Phone Number
262-335-2930
Fax Number
262-335-2931
person
Provider Business Mailing Address Details
Address
2358 W Washington St
City
West Bend
State
Wisconsin
Zip
53095-2118
Phone Number
262-335-2930
Fax Number
262-335-2931
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
774-025 (Wisconsin)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
774-025 (Wisconsin)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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