LISA M SULLIVAN BSN RN OCN NPI 1912876574

NPI Information

  • NPI: 1912876574
  • Provider Name: LISA M SULLIVAN, BSN, RN, OCN
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Individual
  • Address: 3200 PLEASANT VALLEY RD
    WEST BEND, WI
    ZIP 53095
  • Phone: (262) 836-7200

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NPI Details

Lisa M Sullivan, BSN, RN, OCN is a hematology and oncology internal medicine in West Bend, WI. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Lisa M Sullivan, BSN, RN, OCN NPI is 1912876574. 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:

3200 PLEASANT VALLEY RD
WEST BEND, WI
ZIP 53095-274
Phone: (262) 836-7200

The enumeration date for this NPI number is 11/3/2025 and was last updated on 11/3/2025.

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
1207RH0003XInternal MedicineHematology & Oncology124150WISCONSINYes

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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