Lysette Lucille Brueggeman is a West Bend, Wisconsin based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Lysette Lucille Brueggeman is 4368 for General Practice Dentistry in Wisconsin. Her current practice location is 145 N 18th Avenue, West Bend. Patients can reach her at 262-334-3084.
Lysette Lucille Brueggeman is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Lysette Lucille Brueggeman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Lysette Lucille Brueggeman
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
145 N 18th Avenue, West Bend, Wisconsin, 53095
Phone:
262-334-3084
Fax:
262-334-3552
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1639234677
NPI Enumeration Date:
27 Dec, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lysette Lucille Brueggeman are as mentioned below.
License Number
Specialization
State
Status
4368
General Practice Dentistry
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Lysette Lucille Brueggeman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
33713000
Medicaid
Wisconsin
650286
Other
UNITED CONCORDIA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
145 N 18th Avenue, West Bend, Wisconsin
Zip:
53095
Phone Number:
262-334-3084
Fax Number:
262-334-3552
Patients can reach Lysette Lucille Brueggeman at 145 N 18th Avenue, West Bend, Wisconsin or can call to book an appointment on 262-334-3084. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.