LISA GRILL DODSON MD NPI 1053328989

NPI Information

  • NPI: 1053328989
  • Provider Name: LISA GRILL DODSON, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 2720 PLAZA DR
    SUITE 1100
    WAUSAU, WI
    ZIP 54401
  • Phone: (715) 847-2472

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NPI Details

Lisa Grill Dodson, MD is a family medicine in Wausau, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Lisa Grill Dodson, MD NPI is 1053328989. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2720 PLAZA DR
SUITE 1100
WAUSAU, WI
ZIP 54401-158
Phone: (715) 847-2472

The enumeration date for this NPI number is 8/2/2006 and was last updated on 12/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine63624WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1024096MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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