Individual
LISA N BRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
199 COUNTY ROAD DF FL 3, JUNEAU, WI 53039-9512
(920) 386-4094
Mailing address
199 COUNTY ROAD DF FL 3, JUNEAU, WI 53039-9512
(920) 386-4094
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
55115
WI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
55115
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2009
Last updated
05/07/2019
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