NPI 1619354743

Lisa Bennett, MD

Practitioner Ophthalmology Physician Mequon, WI

Practice location

Address: 10320 N Port Washington Rd, Mequon, WI 53092-5767
Phone: (262) 241-1919
Fax: (262) 241-9046
Mailing address: 788 N Jefferson St STE 300, Milwaukee, WI 53202-3710

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 70489 (WI)

Other Ophthalmology providers in Wisconsin →

Registry record

NPI: 1619354743
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Apr 2015
Record last updated: 7 Aug 2024

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.