Mrs Lisa Lee Hanson, RD | |
13111 N Port Washington Rd, Mequon, WI 53097-2416 | |
(262) 243-7376 | |
Not Available |
Full Name | Mrs Lisa Lee Hanson |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 13111 N Port Washington Rd, Mequon, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1356560700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 725446 (Wisconsin) | Primary |
Provider Name | Columbia St Marys Hospital Milwaukee Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
Mailing Address | Practice Location Address |
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Mrs Lisa Lee Hanson, RD 406 Crescent Ln, Thiensville, WI 53092-1347 Ph: (262) 238-0359 | Mrs Lisa Lee Hanson, RD 13111 N Port Washington Rd, Mequon, WI 53097-2416 Ph: (262) 243-7376 |
Abbey Beck, Dietitian Medicare: Medicare Enrolled Practice Location: 13111 N Port Washington Rd, Mequon, WI 53097 Phone: 262-243-7657 | |
Mrs. Jennifer Lynn Melcher, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8241 W Highlander Dr, Mequon, WI 53097 Phone: 630-699-2177 | |
Shoshana Silver, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11305 N Bobolink Ln, Mequon, WI 53092 Phone: 262-957-7350 | |
Lynn Marie Clark, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10500 N. Stratford Place, Mequon, WI 53092 Phone: 262-242-7808 | |
Sarah Sherman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10602 N Port Washington Rd Ste 101, Mequon, WI 53092 Phone: 414-367-6376 | |
Joan V. Ewig, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13111 N Port Washington Rd, Columbia-st. Mary's, Mequon, WI 53097 Phone: 262-243-7564 Fax: 262-243-7318 |