Mrs Lisa Renee Haverly, MA/OT - Occupational Therapist in Hudson, WI

Mrs Lisa Renee Haverly, MA/OT is a Occupational Therapist - Pediatrics based in Hudson, Wisconsin. Mrs Lisa Renee Haverly is licensed to practice in Wisconsin (license number 3124-26) and her current practice location is 477 Perch Lake Rd, Hudson, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (715) 549-6021.

NPI number for Mrs Lisa Renee Haverly is 1275973042 and her current mailing address is 477 Perch Lake Rd, Hudson, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275973042.

Contact Information

Mrs Lisa Renee Haverly, MA/OT
477 Perch Lake Rd,
Hudson, WI 54016
(715) 549-6021
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Lisa Renee Haverly
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location477 Perch Lake Rd, Hudson, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275973042
  • Provider Enumeration Date: 06/26/2013
  • Last Update Date: 06/26/2013

Medical Identifiers

Medical identifiers for Mrs Lisa Renee Haverly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275973042NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics 3124-26 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lisa Renee Haverly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Lisa Renee Haverly, MA/OT
477 Perch Lake Rd,
Hudson, WI 54016

Ph: (715) 549-6021
Mrs Lisa Renee Haverly, MA/OT
477 Perch Lake Rd,
Hudson, WI 54016

Ph: (715) 549-6021

Reviews and Comments


Occupational Therapist in Hudson, WI

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