Active NPI
Lisa Friedrich, MT-BC
- Specialist
- Racine, WI
National Provider Identifier
1376758300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 07048
- Practice address
- 2309 Geneva St
Racine, WI 53402-4515 - Phone
- (262) 989-8181
- Fax
- (262) 898-6358
- NPI assigned
- May 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 07048 | PA | Primary |
Addresses
Primary practice location
2309 Geneva St
Racine, WI 53402-4515
Mailing address
2309 Geneva St
Racine, WI 53402-4515
Phone (262) 989-8181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07048 | PA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376758300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2309 GENEVA ST",
"city": "RACINE",
"state": "WI",
"postal_code": "534024515",
"telephone_number": "262-989-8181",
"fax_number": "262-898-6358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2309 GENEVA ST",
"city": "RACINE",
"state": "WI",
"postal_code": "534024515",
"telephone_number": "262-989-8181",
"fax_number": "262-898-6358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDRICH",
"first_name": "LISA",
"credential": "MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "07048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Racine, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.