Lisa A Korban in Glendale - Primary Care

Lisa A Korban - NPI 1932193638

Lisa A Korban is a Primary Care in Glendale, Wisconsin. Lisa A Korban practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Lisa A Korban is 1932193638. The last update date is 2011-11-15.

Lisa A Korban's current location address is 4425 N Port Washington Rd, Glendale, Wisconsin. You can contact this provider via phone number 4142711633 and fax number 4142715071. The mailing address for Lisa A Korban is 4425 N Port Washington Rd, Glendale, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa A Korban
Address 4425 N Port Washington Rd, Glendale, Wisconsin
Phone Number 4142711633
Fax Number 4142715071
Sole Proprietor N
Credentials FNP, APNP

NPI Number Detail

NPI Number 1932193638
Provider Enumeration Date 2005-09-08
Last Updated Date 2011-11-15

Provider Mailing Address Detail

Address 4425 N Port Washington Rd
City Glendale
State Wisconsin (WI)
Post Code 532121082
Phone Number 4142711633
Fax Number 4142715071

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 363Lp2300X
Licence No 2404-033
Definition:
An advanced practice registered nurse expert in comprehensive, first contact primary healthcare for patients of all ages.

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FAQs about Lisa A Korban

What is the unique identification code assigned to Lisa A Korban by the Centers for Medicare & Medicaid Services?

The Lisa A Korban has been issued the NPI (National Provider Identifier) 1932193638. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Lisa A Korban's facilities are geographically located?

The facilities of Lisa A Korban are physically situated at the following location: 4425 N Port Washington Rd, Glendale, WI, 532121082.

What is the area of specialization for Lisa A Korban, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lisa A Korban is Primary Care, and the corresponding taxonomy code that categorizes this area of expertise is 363Lp2300X.

On what date did the Centers for Medicare & Medicaid Services issue the 1932193638 to Lisa A Korban?

The Lisa A Korban received its 1932193638 assignment from the Centers for Medicare & Medicaid Services on 2005-09-08.

As of what date were the Lisa A Korban's details last updated?

The information pertaining to the Lisa A Korban, including its address, specialty, and other details, was most recently updated on 2011-11-15.

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