IndividualActive
Lisa Koenig, BCHD, DDS, MS
NPI 1518052174 · Oral and Maxillofacial Radiology Dentistry · Milwaukee, WI
Provider details
- NPI number
- 1518052174
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Radiology DentistryDental Providers
- Credential
- BCHD, DDS, MS
- Sex
- Female
- Sole proprietor
- No
- License
- 3846 (WI)
Specialties & taxonomies
Dental Providers
Practice location
Marquette University School of Dentistry
1801 West Wisconsin Avenue
Milwaukee, WI 53233
Phone: (414) 288-5675
Fax: (414) 288-6081
Approximate (ZIP-level) locationGet directions
Mailing address
Marquette University School of Dentistry
Milwaukee, WI 53201-1881
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.