Individual provider · Type 1 NPI

Lisa Jayne Koenig, BCHD, DDS, MS

Oral and Maxillofacial Radiology Dentistry · Milwaukee, WI

NPI number 1518052174 Active

Practice location

Marquette University School Of Dentistry, 1801 West Wisconsin Avenue
Milwaukee, WI 53233

Fax (414) 288-6081

Mailing address

Marquette University School Of Dentistry, PO Box 1881
Milwaukee, WI 53201-1881

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Radiology Dentistry Primary 1223X0008X3846 (WI)

Oral and Maxillofacial Radiology Dentistry: The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.

About NPI 1518052174

Lisa Jayne Koenig, BCHD, DDS, MS's National Provider Identifier is 1518052174, issued on Oct 3, 2006. The primary taxonomy on file is Oral and Maxillofacial Radiology Dentistry (1223X0008X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 8, 2007.