Lisa M Sullivan, BSN, RN, OCN - Internal Medicine in West Bend, WI

Lisa M Sullivan, BSN, RN, OCN is a Internal Medicine - Hematology & Oncology physician based in West Bend, Wisconsin. Lisa M Sullivan is licensed to practice in Wisconsin (license number 124150) and her current practice location is 3200 Pleasant Valley Rd, West Bend, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 836-7200.

NPI number for Lisa M Sullivan is 1912876574 and her current mailing address is 3200 Pleasant Valley Rd.; Cancer Center, West Bend, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912876574.

Contact Information

Lisa M Sullivan, BSN, RN, OCN
3200 Pleasant Valley Rd,
West Bend, WI 53095-9274
(262) 836-7200
Not Available

Map and Direction




Physician's Profile

Full NameLisa M Sullivan
GenderFemale
SpecialityInternal Medicine - Hematology & Oncology
Location3200 Pleasant Valley Rd, West Bend, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912876574
  • Provider Enumeration Date: 11/03/2025
  • Last Update Date: 11/03/2025

Medical Identifiers

Medical identifiers for Lisa M Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912876574NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology 124150 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa M Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa M Sullivan, BSN, RN, OCN
3200 Pleasant Valley Rd.; Cancer Center,
West Bend, WI 53095

Ph: (262) 836-7200
Lisa M Sullivan, BSN, RN, OCN
3200 Pleasant Valley Rd,
West Bend, WI 53095-9274

Ph: (262) 836-7200

Reviews and Comments


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