NPI 1104458025

Lisa M Bender, LPN

Practitioner General Practice Physician Oregon, WI

Practice location

Address: 213 Bergamont Blvd APT 101, Oregon, WI 53575-3722
Phone: (325) 320-4165
Mailing address: 1207 Vista Ave, Janesville, WI 53545-4942

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 310675-31 (WI)

Other General Practice providers in Wisconsin →

Registry record

NPI: 1104458025
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Feb 2020
Record last updated: 8 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.