Individual provider · Type 1 NPI
Lisa Jayne Koenig, BCHD, DDS, MS
Oral and Maxillofacial Radiology Dentistry · Milwaukee, WI
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
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Radiology Dentistry Primary | 1223X0008X | 3846 (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.