Dr. Lisa Gustine Kornely
D.P.M. | Podiatrist | 28+ years Exp
Medicare Enrolled
2358 W Washington St, West Bend
Wisconsin, 53095-2118
262-335-2930 262-335-2931
Maps & DirectionsDr. Lisa Gustine Kornely is a West Bend, Wisconsin based podiatrist with 28 years of experience in Podiatry. She completed her graduation from William M. Scholl College Of Podiatric Medicine in 1997. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Lisa Gustine Kornely for Podiatry is 774-025 in Wisconsin.
Dr. Lisa Gustine Kornely is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. She diagnose and treat foot diseases and deformities. She can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Lisa Gustine Kornely speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | D.P.M. |
| Experience: | 28+ years |
| Medical School Attended: | William M. Scholl College Of Podiatric Medicine |
| Graduation Year: | 1997 |
| Gender: | Female |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2358 W Washington St, West Bend,
Wisconsin, 53095-2118 |
| Phone: | 262-335-2930 |
| Fax: | 262-335-2931 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0446215693 |
| Enrollment ID: | I20041130000072 |
| NPI Number: | 1699732461 |
| NPI Enumeration Date: | 27 Apr, 2006 |
| NPI Last Update On: | 01 Feb, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lisa Gustine Kornely are as mentioned below.
| License Number | Specialization | State | Status | |
| 774-025 | Podiatry | Wisconsin | Primary | |
| 774-025 | Durable Medical Equipment & Medical Supplies | Wisconsin | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Lisa Gustine Kornely such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 43225400 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2358 W Washington St,
West Bend, Wisconsin |
| Zip: | 53095-2118 |
| Phone Number: | 262-335-2930 |
| Fax Number: | 262-335-2931 |
Patients can reach Dr. Lisa Gustine Kornely at
2358 W Washington St, West Bend, Wisconsin or can
call to book an appointment on 262-335-2930.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.