Individual
LISA A KORBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, APNP
Contact information
Practice address
2350 N LAKE DR, SUITE 400, MILWAUKEE, WI 53211-4528
(414) 271-1633
(414) 271-5071
Mailing address
4425 N PORT WASHINGTON RD, ATTN: CSMCP CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(414) 271-1633
(414) 271-5071
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2404-033
WI
Other
Enumeration date
09/08/2005
Last updated
11/15/2011
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