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Contact Information

LISA C PALMER, DO
2060 BELLEVUE ST
GREEN BAY, WI54311-5622
 Phone: 920-965-0606
 Fax: 920-965-0607
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LISA C PALMER · (Female)

NPI Number 1972628162
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/20/2007
Last updated 11/24/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 63183
  • WV Medicaid 3810008325
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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