Provider Demographics
NPI:1326360736
Name:ARKOWSKI, LISA REILAND (DC)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:REILAND
Last Name:ARKOWSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N5317 COUNTY ROAD F
Mailing Address - Street 2:
Mailing Address - City:DURAND
Mailing Address - State:WI
Mailing Address - Zip Code:54736-4505
Mailing Address - Country:US
Mailing Address - Phone:608-769-3290
Mailing Address - Fax:
Practice Address - Street 1:N5317 COUNTY ROAD F
Practice Address - Street 2:
Practice Address - City:DURAND
Practice Address - State:WI
Practice Address - Zip Code:54736-4505
Practice Address - Country:US
Practice Address - Phone:608-769-3290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4576-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor