Lisa Dezelan, PA
NPI 1063466373 · Physician Assistant · Milwaukee, WI
Lisa Dezelan, PA is a Physician Assistant provider in Milwaukee, WI (NPI 1063466373).
Provider details
- NPI number
- 1063466373
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 1458 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2012-12-13
Frequently asked questions
- What is Lisa Dezelan's NPI number?
- Lisa Dezelan's National Provider Identifier (NPI) is 1063466373, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Dezelan's specialty?
- Lisa Dezelan is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lisa Dezelan located?
- Lisa Dezelan's practice location on file with NPPES is 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522.
- What is Lisa Dezelan's phone number?
- The practice phone number listed in the NPPES registry for Lisa Dezelan is (414) 805-6800.
- Is Lisa Dezelan's NPI active?
- Yes — Lisa Dezelan's NPI (1063466373) is active in the NPPES registry as of the last update on 2012-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.