Individual
LILY BANSEMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 W NORTH AVE, MILWAUKEE, WI 53205-1257
(414) 264-6600
Mailing address
N50W17501 MULBERRY LN, MENOMONEE FALLS, WI 53051-7820
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1001464862
WI
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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