Individual provider · Type 1 NPI

Lisa Hackeloer

Registered Nurse · Kenosha, WI

NPI number 1336045863 Active

Practice location

3600 52nd St
Kenosha, WI 53144-2664

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X127000-30 (WI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1336045863

Lisa Hackeloer's National Provider Identifier is 1336045863, issued on Oct 20, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Kenosha, WI. The record was last updated on Oct 20, 2026.