Lisa Randerson in Neenah - Professional

Lisa Randerson - NPI 1699965137

Lisa Randerson is a Professional in Neenah, Wisconsin. Lisa Randerson practices all healthcare services and medical treatments related to Professional. The NPI Number for Lisa Randerson is 1699965137. The last update date is 2023-05-17.

Lisa Randerson's current location address is 301 Nicolet Blvd, Neenah, Wisconsin. You can contact this provider via phone number 9209153735 and fax number 9207389901. The mailing address for Lisa Randerson is 301 Nicolet Blvd, Neenah, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Randerson
Address 301 Nicolet Blvd, Neenah, Wisconsin
Phone Number 9209153735
Fax Number 9207389901
Sole Proprietor Y
Credentials LPC, SAC

NPI Number Detail

NPI Number 1699965137
Provider Enumeration Date 2007-07-31
Last Updated Date 2023-05-17

Provider Mailing Address Detail

Address 301 Nicolet Blvd
City Neenah
State Wisconsin (WI)
Post Code 549562756
Phone Number 9209153735
Fax Number 9207389901

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 4263-125
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

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FAQs about Lisa Randerson

What is the Lisa Randerson's unique identification number?

The Lisa Randerson has been assigned the NPI (National Provider Identifier) Number 1699965137 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Lisa Randerson's facilities are situated?

The facilities of Lisa Randerson are physically located at the following address: 301 Nicolet Blvd, Neenah, WI, 549562756.

What is Lisa Randerson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Lisa Randerson is Professional, and the taxonomy classification code that categorizes this area of expertise is 101Yp2500X.

On what date did Lisa Randerson receive its 1699965137 assignment from the Centers for Medicare & Medicaid Services?

The Lisa Randerson was assigned its 1699965137 on 2007-07-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Lisa Randerson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Lisa Randerson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-05-17.

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