Individual
LISA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
15425 W NATIONAL AVE, NEW BERLIN, WI 53151-5156
(262) 782-3400
Mailing address
605 W WISCONSIN AVE, OCONOMOWOC, WI 53066-2729
(262) 391-8749
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1342060
WI
237700000X
Hearing Instrument Specialist
3026037
IL
Other
Enumeration date
09/27/2011
Last updated
06/29/2015
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