LISA GUSTINE KORNELY

WEST BEND, WI
NPI1699732461
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: WI  774-025)
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
(Licence: WI  774-025)
Enumeration Date2006-04-27
Last Update Date2022-02-01
Business Address
Dr. LISA GUSTINE KORNELY D.P.M.
2358 W WASHINGTON ST
WEST BEND, WI 53095-2118
Phone number: 262-335-2930
Mailing Address
Dr. LISA GUSTINE KORNELY D.P.M.
2358 W WASHINGTON ST
WEST BEND, WI 53095-2118
Phone number: 262-335-2930