Organization
VILLAGE OF LISBON
Active
Other names
Town of Lisbon Emergency Medical Town of Lisbon Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY NICKOLAUS (ADMINISTRATOR)
(262) 246-6100
Entity
Organization
Contact information
Practice address
N72 W24958 GOOD HOPE ROAD, SUSSEX, WI 53089
(262) 538-3902
(262) 820-2030
Mailing address
W234 N8676 WOODSIDE ROAD, SUSSEX, WI 53089-1545
(262) 246-6100
(262) 820-2023
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6001261
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41315400
—
WI
Enumeration date
08/15/2006
Last updated
06/06/2024
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