| Doctor Name: | DR. LISA ANN DREXLER |
| NPI Number: | 1124108618 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 3955 |
| Business Practice Address: | 500 E Veterans St #32 Tomah, WI - 546603105 |
| Business Phone Number: | 9192663696 |
| Business Fax Number: | |
| Mailing Address: | 500 E Veterans St, #32 TOMAH |
| State: | WI |
| Postal Code: | 546603105 |
| Phone Number: | 9192663696 |
| Fax Number: | |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 04/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3955 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |