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

Lisa Fowlkes, ATHLETICTRAINER

Individual provider Athletic Trainer · NPI 1548079619

Lisa Fowlkes, ATHLETICTRAINER is an Athletic Trainer in Oregon, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2025
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Practice location Address checks out

926 Harding St
Oregon, WI 53575-2858
Phone: (414) 232-7850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1049-39 (WI)

Record details

NPI number1548079619
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATHLETICTRAINER
Sole proprietorYes
NPI enumeratedJanuary 3, 2025
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025

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