Individual
LISA MARIE JOERRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13950 W CAPITOL DR, SUITE 200, BROOKFIELD, WI 53005-2441
(262) 781-3065
(262) 781-3835
Mailing address
13950 W CAPITOL DR, SUITE 200, BROOKFIELD, WI 53005-2441
(262) 781-3065
(262) 781-3835
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
53832
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629240536
—
WI
Enumeration date
03/31/2008
Last updated
04/01/2014
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