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:
Health care specialties
| Specialty | Code | License # | 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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