Brandenburger, Lisa A

Brandenburger, Lisa A is an individual health care provider with primary practice located at 2564 Nw Edenbower Blvd Suite 126, Roseburg OR 97471-8821. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Brandenburger, Lisa A can be contacted via phone (541) 673-2223.

Contact Information

Primary practice address
2564 Nw Edenbower Blvd Suite 126 Roseburg OR 97471-8821
Phone: (541) 673-2223
Fax: (541) 672-5828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD26928 Oregon
Allopathic & Osteopathic Physicians / Hematology 207RH0000X MD26928 Oregon

Profile Details

NPI number 1841246048
LBN Legal business name Brandenburger, Lisa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jul 3rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841246048 NPPES
Oregon MEDICAID 006006

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