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NPI Code Detail

MEDICARE: LISA MARSHA JONES MD

MEDICARE: LISA MARSHA JONES MD
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
1207RG0100XGastroenterology Physician62737WI

General Provider Information

NPI Number : 1205990520
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA MARSHA JONES MD
Provider Business Mailing Address
First Line : 5032 SAINT ANNES DR
Second Line :
City : MIDDLETON
State : WI
Zip : 53597-8826
Country : US
Telephone Number : 608-829-5485
Fax Number :
Provider Business Practice Location Address
First Line : 3501 CRANBERRY BLVD
Second Line :
City : WESTON
State : WI
Zip : 54476-5213
Country : US
Telephone Number : 715-393-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2006
Last Update Date : 12/15/2025

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