Healthcare Provider Details

I. General information

NPI: 1679556443
Provider Name (Legal Business Name): LISA ANN TUREK-SHAY DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2005
Last Update Date: 04/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 KELLER AVE N
AMERY WI
54001-1042
US

IV. Provider business mailing address

308 KELLER AVE N
AMERY WI
54001-1042
US

V. Phone/Fax

Practice location:
  • Phone: 715-268-6210
  • Fax: 715-268-6211
Mailing address:
  • Phone: 715-268-6210
  • Fax: 715-268-6211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3325
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: