Lisenby Podiatry

LBN: Lisenby Podiatry
Lisenby Podiatry is an health care organization with primary practice located at 1550 E Main St , Dothan AL 36301-3012. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Lisenby Podiatry can be contacted via phone (334) 671-1441, or through Lisenby, Robert Harrison via phone (334) 671-1441.

Contact Information

Primary practice address
1550 E Main St Dothan AL 36301-3012
Phone: (334) 671-1441
Fax: (334) 671-1688
Website:
Map and Directions
Authorized official contact:
Name: Lisenby, Robert Harrison
Phone: (334) 671-1441

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 144 Alabama
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 511 Georgia

Profile Details

NPI number 1104990415
LBN Legal business name Lisenby Podiatry
DBA Doing business as
Authorized official Lisenby, Robert Harrison
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated May 26th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104990415 NPPES
Alabama MEDICAID 000074869
Alabama Other 74869

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