MEDICARE: DR. LISA W ZETLEY 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
1	208000000X	Pediatrics Physician	33598	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	002000197P	OTHER		HUMANA

General Provider Information

NPI Number	:	1225080724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA W ZETLEY MD

Provider Business Mailing Address
First Line	:	1020 N 12TH ST
Second Line	:	DOWNTOWN HEALTH CENTER
City	:	MILWAUKEE
State	:	WI
Zip	:	53233-1308
Country	:	US
Telephone Number	:	414-277-8900
Fax Number	:	414-277-8982

Provider Business Practice Location Address
First Line	:	1020 N 12TH ST
Second Line	:	DOWNTOWN HEALTH CENTER
City	:	MILWAUKEE
State	:	WI
Zip	:	53233-1308
Country	:	US
Telephone Number	:	414-277-8900
Fax Number	:	414-277-8982

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	02/25/2013

Similar Medicare Providers

1043209968 — MS. REBECCA A SCHULTZ NP
Practice Location Address:

1020 N 12TH ST
MILWAUKEE, WI
53233-1308

Practice Phone: 414-647-6936
Practice Fax: 414-385-1599

1003882994 — SORYAL A SORYAL M.D
Practice Location Address:

1020 N 12TH ST , 3RD FLOOR
MILWAUKEE, WI
53233-1308

Practice Phone: 414-219-7300
Practice Fax:

1346270345 — NANCY L DONALDSON CNM
Practice Location Address:

1020 N 12TH ST , 1ST FLOOR
MILWAUKEE, WI
53233-1308

Practice Phone: 414-219-5800
Practice Fax:

1184654196 — EILEEN M NYHOLT CNM
Practice Location Address:

1020 N 12TH ST , 1ST FLOOR
MILWAUKEE, WI
53233-1308

Practice Phone: 414-219-5800
Practice Fax:

1861422883 — NICOLE F PFAFF CNM
Practice Location Address:

1020 N 12TH ST , 1ST FLOOR
MILWAUKEE, WI
53233-1308

Practice Phone: 414-219-5800
Practice Fax:

1487684403 — JACQUELYNN TILLETT CNM
Practice Location Address:

1020 N 12TH ST , 1ST FLOOR
MILWAUKEE, WI
53233-1308

Practice Phone: 414-219-5800
Practice Fax:

Directions to “ DR. LISA W ZETLEY MD” 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.