Healthcare Provider Details

I. General information

NPI: 1396656955
Provider Name (Legal Business Name): SUSAN LEX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2029 N 20TH ST
MILWAUKEE WI
53205-1140
US

IV. Provider business mailing address

5525 W. VLIET ST.
MILWAUKEE WI
53208
US

V. Phone/Fax

Practice location:
  • Phone: 414-935-3116
  • Fax:
Mailing address:
  • Phone: 414-475-8393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: