Brostrom, Lisa Danielle

Brostrom, Lisa Danielle is an sole proprietor health care provider with primary practice located at 3551 Roger Brooke Dr Bldg 3600 , Fort Sam Houston TX 78234-4504. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Brostrom, Lisa Danielle can be contacted via phone (210) 269-6113.

Contact Information

Primary practice address
3551 Roger Brooke Dr Bldg 3600 Fort Sam Houston TX 78234-4504
Phone: (210) 269-6113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X L4266 Texas

Profile Details

NPI number 1124197173
LBN Legal business name Brostrom, Lisa Danielle
Credentials MD, FACS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Sep 12th, 2019 - about 5 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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