Individual provider · Type 1 NPI

Lisa Sue Ristau, RDH

Dental Hygienist · Kenosha, WI

NPI number 1952476632 Active

Practice location

4536 22nd Ave
Kenosha, WI 53140-5917

Call (262) 656-0044 Map

Fax (262) 653-2218

Mailing address

4607 19th Ave Lowr
Kenosha, WI 53140-3249

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X6917-016 (WI)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1952476632

Lisa Sue Ristau, RDH's National Provider Identifier is 1952476632, issued on Nov 21, 2006. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Kenosha, WI. The record was last updated on Jul 9, 2007.