Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lisa Gustine Kornely, DPM

Individual provider Podiatrist · NPI 1699732461

Dr. Lisa Gustine Kornely, DPM is a Podiatry in West Bend, Wisconsin. Graduated from William M. Scholl College of Podiatric Medicine in 1997, 29 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
29
Trained at
William M. Scholl College of Podiatric Medicine
Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2358 W Washington St
West Bend, WI 53095-2118
Phone: (262) 335-2930
Fax: (262) 335-2931
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 774-025 (WI)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 774-025 (WI)

Record details

NPI number1699732461
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedApril 27, 2006
Last updated in NPPESFebruary 1, 2022
Certification dateFebruary 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolWILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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