DR. LISA JAYNE KOENIG (NPI# 1518052174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518052174 |
| Entity Type | Individual |
| Full Name | DR. LISA JAYNE KOENIG |
| Credential | BCHD, DDS, MS |
| Practice Address |
Marquette University School of Dentistry 1801 West Wisconsin Avenue Milwaukee WI 53233 |
| Mailing Address |
Marquette University School of Dentistry Po Box 1881 Milwaukee WI 53201-1881 |
| Practice Telephone | 4142885675 |
| Practice Fax Number | 4142886081 |
| Mailing Telephone | 4142885675 |
| Mailing Fax Number | 4142886081 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
3846 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972652154 | Lisa Koenig | Chiropractor | 4168 Piedmont Ave Ste E, Oakland, CA 94611-5172 | 2007-01-09 |
| 1861020174 | Lisa Ruth Koenig | Student in an Organized Health Care Education/Training Program | 1275 York Ave, New York, NY 10065-6007 | 2020-03-31 |
| 1700270105 | Lisa Koenig | Nurse Practitioner | 1001 Lakeside Ave E, Suite 1000, Cleveland, OH 44114-1158 | 2015-03-24 |
| 1801908421 | Lisa F Koenig | Anesthesiology | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2006-08-31 |
| Street Address |
MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY 1801 WEST WISCONSIN AVENUE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| Taxonomy Code | 1223X0008X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Radiology |
| The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.