Lisa C Broll is a Professional in Lake Geneva, Wisconsin. Lisa C Broll practices all healthcare services and medical treatments related to Professional. The NPI Number for Lisa C Broll is 1821141730. The last update date is 2007-07-08.
Lisa C Broll's current location address is N2950 State Road 67, Lake Geneva, Wisconsin. You can contact this provider via phone number 8006372901. The mailing address for Lisa C Broll is N2950 State Road 67, Lake Geneva, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa C Broll |
|---|---|
| Address | N2950 State Road 67, Lake Geneva, Wisconsin |
| Phone Number | 8006372901 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1821141730 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | N2950 State Road 67 |
|---|---|
| City | Lake Geneva |
| State | Wisconsin (WI) |
| Post Code | 531472655 |
| Phone Number | 8006372901 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 2978 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the Lisa C Broll's 1821141730?
The Lisa C Broll's NPI (National Provider Identifier) Number is 1821141730. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lisa C Broll's physical address?
The Lisa C Broll is physically located at N2950 State Road 67, in the city of Lake Geneva, WI, with the postal code 531472655.
What is Lisa C Broll's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa C Broll's area of specialization is Professional, and the corresponding taxonomy code that categorizes this field of practice is 101Yp2500X.
On what date did Lisa C Broll receive its 1821141730 assignment from the Centers for Medicare & Medicaid Services?
The Lisa C Broll was assigned its 1821141730 on 2007-01-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Lisa C Broll, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa C Broll, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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