Individual
MS. LISA A CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC ALLERGY/IMMUNOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-6840
(414) 266-6437
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC ALLERGY/IMMUNOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-6840
(414) 266-6437
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2039
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295787729
—
WI
Enumeration date
05/16/2006
Last updated
03/11/2024
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