MEDICARE: LISA FEHRENBACH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	11389	WI

General Provider Information

NPI Number	:	1306121348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA FEHRENBACH

Provider Business Mailing Address
First Line	:	2301 S ONEIDA ST
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54304-5230
Country	:	US
Telephone Number	:	920-490-0425
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 S ONEIDA ST
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54304-5230
Country	:	US
Telephone Number	:	920-490-0425
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2011
Last Update Date	:	10/20/2011

Similar Medicare Providers

1033124185 — WALGREEN CO
Practice Location Address:

2301 S ONEIDA ST
GREEN BAY, WI
54304-5230

Practice Phone: 920-490-0420
Practice Fax:

1598040669 — GREGORY PATRICK BARNES RPH
Practice Location Address:

2301 S ONEIDA ST
GREEN BAY, WI
54304-5230

Practice Phone: 920-490-0424
Practice Fax: 920-490-0651

1689959710 — MRS. CASEY ANN THIBODEAU PHARMD
Practice Location Address:

2301 S ONEIDA ST
GREEN BAY, WI
54304-5230

Practice Phone: 920-490-0424
Practice Fax: 920-490-0651

1679180848 — JINXIANG SU
Practice Location Address:

2301 S ONEIDA ST
GREEN BAY, WI
54304-5230

Practice Phone: 920-490-0424
Practice Fax:

1093766487 — MS. MARY R BUTLER NP
Practice Location Address:

2301 S ONEIDA ST
ASHWAUBENON, WI
54304-5230

Practice Phone: 920-497-7783
Practice Fax: 920-497-7789

1174711469 — KAREN A SANCHEZ FNP-C
Practice Location Address:

2301 S ONEIDA ST
ASHWAUBENON, WI
54304-5230

Practice Phone: 920-497-7783
Practice Fax: 920-497-7789

Directions to “ LISA FEHRENBACH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.