Dr. Lisa Gustine Kornely is a West Bend, Wisconsin based female podiatrist with 27 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:
Podiatrist
Credentials:
D.P.M.
Experience:
27+ 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.