Lysette Lucille Brueggeman in West Bend - General Practice
Lysette Lucille Brueggeman - NPI 1639234677
Lysette Lucille Brueggeman is a General Practice in West Bend, Wisconsin. Lysette Lucille Brueggeman practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lysette Lucille Brueggeman is 1639234677. The last update date is 2007-07-08.
Lysette Lucille Brueggeman's current location address is 145 N 18th Avenue, West Bend, Wisconsin. You can contact this provider via phone number 2623343084 and fax number 2623343552. The mailing address for Lysette Lucille Brueggeman is 145 N 18th Avenue, West Bend, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lysette Lucille Brueggeman |
|---|---|
| Address | 145 N 18th Avenue, West Bend, Wisconsin |
| Phone Number | 2623343084 |
| Fax Number | 2623343552 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1639234677 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 145 N 18th Avenue |
|---|---|
| City | West Bend |
| State | Wisconsin (WI) |
| Post Code | 53095 |
| Phone Number | 2623343084 |
| Fax Number | 2623343552 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4368 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33713000 | WI | -- | |
| 650286 | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lysette Lucille Brueggeman by the Centers for Medicare & Medicaid Services?
The Lysette Lucille Brueggeman has been issued the NPI (National Provider Identifier) 1639234677 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Lysette Lucille Brueggeman's physical address?
The Lysette Lucille Brueggeman is physically located at 145 N 18Th Avenue, in the city of West Bend, WI, with the postal code 53095.
What is Lysette Lucille Brueggeman's area of expertise and its corresponding taxonomy classification?
The Lysette Lucille Brueggeman's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1639234677 to Lysette Lucille Brueggeman?
The Lysette Lucille Brueggeman received its 1639234677 assignment from the Centers for Medicare & Medicaid Services on 2006-12-27.
As of what date was the information pertaining to Lysette Lucille Brueggeman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lysette Lucille Brueggeman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.