Lisa K Erickson, LPC | |
565 Milwaukee Ave Ste 3c, Burlington, WI 53105-1254 | |
(262) 757-0016 | |
(262) 757-0018 |
Full Name | Lisa K Erickson |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 565 Milwaukee Ave Ste 3c, Burlington, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316057680 | NPI | - | NPPES |
39788600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3577 (Wisconsin) | Primary |
Entity Name | Prohealth Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
Mailing Address | Practice Location Address |
---|---|
Lisa K Erickson, LPC 565 Milwaukee Ave Ste 3c, Burlington, WI 53105-1254 Ph: (262) 757-0016 | Lisa K Erickson, LPC 565 Milwaukee Ave Ste 3c, Burlington, WI 53105-1254 Ph: (262) 757-0016 |
Annette Renee Vielleux, PSY.D. Counselor Medicare: Accepting Medicare Assignments Practice Location: 6190 State Road 36, Burlington, WI 53105 Phone: 414-331-9376 | |
Ms. Katherine S Gochanour-greiner, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 N Pine St, Burlington, WI 53105 Phone: 262-767-0441 Fax: 262-767-9072 | |
Sherry Lynn Ward, LPC, CSAC. RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 E State St, Burlington, WI 53105 Phone: 262-767-0441 | |
Susan J Alter, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Crest St, Burlington, WI 53105 Phone: 262-767-0440 Fax: 262-767-0777 | |
James Peterson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 152 E State St, Burlington, WI 53105 Phone: 262-763-8183 | |
Kathleen Yoder, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 441 Milwaukee Ave Ste 2, Burlington, WI 53105 Phone: 262-767-0440 Fax: 262-767-0777 |