Individual
DR. LISA ANNE PUALANI SANCHEZ-JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
N2251 WILDERLAND DR, LAKE GENEVA, WI 53147-4464
(262) 729-2910
Mailing address
N2251 WILDERLAND DR, LAKE GENEVA, WI 53147-4464
(773) 266-0012
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3993-57
WI
103T00000X
Psychologist
Primary
855
HI
103TC0700X
Clinical Psychologist
071006666
IL
Other
Enumeration date
10/03/2006
Last updated
09/18/2022
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