Lisa Jo Liedke, APNP
Lisa Jo Liedke, APNP is a Nurse Practitioner in Fond Du Lac, Wisconsin. Qualified in 2019, 7 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 7
- Licensed in
- WI
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
210 Wisconsin American DrFond Du Lac, WI 54937-2999
Phone: (920) 907-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 9728 (WI) |
|---|---|
| Occupational Health Nurse Practitioner | Taxonomy 363LX0106X · Licence 9728 (WI) |
Record details
| NPI number | 1336783042 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | APNP |
| Sole proprietor | No |
| NPI enumerated | November 5, 2019 |
| Last updated in NPPES | November 25, 2025 |
| Certification date | November 25, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Aurora Medical Group, Inc. — 3741 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |