SearchWisconsinCustomized Equipment (DME)

Lisa Wenger

NPI 1225592199 · on the registry since 2019 · sole proprietor

Practice

Address
W244n4850 Swan Rd
Pewaukee, WI 53072
Phone
(414) 333-4128
Organisation at this address
The Healing Haven Of Wisconsin Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Customized Equipment (DME)
332BC3200X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-01-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin