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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