Individual
MS. LISA A GRABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9200 W WISCONSIN AVE, GENERAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5806
(414) 805-5934
Mailing address
9200 W WISCONSIN AVE, GENERAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5806
(414) 805-5934
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
119115
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
2414
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002806261E
HUMANA
—
05
—
1942251798
—
WI
Enumeration date
05/15/2006
Last updated
10/11/2013
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