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Individual
MRS. LISA MARIE HENNING
Active
Individual
MRS. LISA MARIE HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251C2600X
Cardiopulmonary Physical Therapist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05621331
BCBS
IL
01
—
LH29800399P
EARLY INTERVENTION
IL
Enumeration date
01/04/2007
Last updated
09/11/2025
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