Individual
DR. LISA ANN BARATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19725 DAVIDSON RD, BROOKFIELD, WI 53045
(262) 389-1202
(414) 649-3551
Mailing address
19725 DAVIDSON RD, BROOKFIELD, WI 53045
(262) 389-1202
(414) 649-3551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30716
WI
207RC0000X
Cardiovascular Disease Physician
Primary
30716
WI
207RC0000X
Cardiovascular Disease Physician
30716-020
WI
207UN0901X
Nuclear Cardiology Physician
30716
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31707600
—
WI
Enumeration date
07/21/2005
Last updated
08/08/2024
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