Lisa Sue Ristau is a Kenosha, Wisconsin based oral hygienist who is specialized as Dental Hygienist. Active license number of Lisa Sue Ristau is 6917-016 for Dental Hygienist in Wisconsin. Her current practice location is 4536 22nd Ave, Kenosha. Patients can reach her at 262-656-0044.
Lisa Sue Ristau has completed an accredited dental hygiene education program, and has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions of dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Complete Profile:
Lisa Sue Ristau 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: | Lisa Sue Ristau |
| Specialization: | Dental Hygienist |
| Gender: | Female |
| Credentials: | RDH (Registered Dental Hygienist) |
| Practice Address: | 4536 22nd Ave, Kenosha,
Wisconsin, 53140-5917 |
| Phone: | 262-656-0044 |
| Fax: | 262-653-2218 |
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: | 1952476632 |
| NPI Enumeration Date: | 21 Nov, 2006 |
| NPI Last Update On: | 09 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 Lisa Sue Ristau are as mentioned below.
| License Number | Specialization | State | Status | |
| 6917-016 | Dental Hygienist | Wisconsin | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa Sue Ristau such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 33805500 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4607 19th Ave Lowr,
Kenosha, Wisconsin |
| Zip: | 53140-3249 |
| Phone Number: | 262-705-6789 |
Patients can reach Lisa Sue Ristau at
4536 22nd Ave, Kenosha, Wisconsin or can
call to book an appointment on 262-656-0044.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.