Individual provider · Type 1 NPI
Lisa A. Korban, FNP, APNP
Primary Care Nurse Practitioner · Milwaukee, WI
NPI number
1932193638
Active
Practice location
2350 N Lake Dr, Suite 400
Milwaukee, WI 53211-4528
Fax (414) 271-5071
Mailing address
4425 N Port Washington Rd, Attn: Csmcp Clinic Credentialing
Glendale, WI 53212-1082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 2404-033 (WI) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1932193638
Lisa A. Korban, FNP, APNP's National Provider Identifier is 1932193638, issued on Sep 8, 2005. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Milwaukee, WI. The record was last updated on Nov 15, 2011.