Healthcare Provider Details

I. General information

NPI: 1144337759
Provider Name (Legal Business Name): LISA L HARSHBARGER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA LOUISE DELLINGER MALEK

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36500 AURORA DR
SUMMIT WI
53066-4899
US

IV. Provider business mailing address

PO BOX 735044
CHICAGO IL
60673-5044
US

V. Phone/Fax

Practice location:
  • Phone: 262-434-5000
  • Fax:
Mailing address:
  • Phone: 800-326-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number44441
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: