SearchWisconsin2085R0202X

Lisa Park, MD

NPI 1972130938 · on the registry since 2020

Practice

Address
3009 University Ave Apt 602
Madison, WI 53705
Phone
(571) 461-1720
Clinicians at this address
2

Additional practice sites

  • 600 Highland Ave, Madison, WI
  • 75 N Country Rd, Port Jefferson, NY

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Also registered as
390200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-24

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