Lisa Jo Liedke is a Fond Du Lac, Wisconsin based nurse practitioner with 5 years of experience in Occupational Health. She completed her graduation in 2019. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lisa Jo Liedke is 9728 in Wisconsin. Her current practice location is 210 Wisconsin American Dr, Fond Du Lac. Patients can reach her at 920-907-7000. Lisa Jo Liedke is APNP with specialization in Occupational Health and her NPI number (Unique professional ID assigned by NPPES) is 1336783042. Lisa Jo Liedke has extensive knowledge of occupational safety and health information and she prepare people to perform with high levels of professional competence in the context of workplace health. Occupational Health Nurse Practitioners (OHNPs) can assess, diagnose, manage, plan, and implement the care of workers and community members from diverse backgrounds.
Complete Profile:
Lisa Jo Liedke speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Lisa Jo Liedke
Specialization:
Occupational Health Nurse Practitioner (OHNP)
Gender:
Female
Credentials:
APNP
Experience:
5+ years
Medical School Attended:
Other
Graduation Year:
2019
Accepts Medicare Assignment:
Yes
Practice Address:
210 Wisconsin American Dr, Fond Du Lac, Wisconsin, 54937-2999
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2466887062
Enrollment ID:
I20200108001355
NPI Number:
1336783042
NPI Enumeration Date:
05 Nov, 2019
NPI Last Update On:
07 Oct, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa Jo Liedke are as mentioned below.
License Number
Specialization
State
Status
9728
Wisconsin
Primary
9728
Occupational Health
Wisconsin
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(520088)
Fond du lac, WI
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lisa Jo Liedke is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Aurora Medical Group, Inc. (6709794258)
2867
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa Jo Liedke such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100095421
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lisa Jo Liedke 3301 W Forest Home Ave, Milwaukee, Wisconsin
Zip:
53215-2843
Patients can reach Lisa Jo Liedke at 210 Wisconsin American Dr, Fond Du Lac, Wisconsin or can call to book an appointment on 920-907-7000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.