Panthel, Lisa Alexandra

Panthel, Lisa Alexandra is an individual health care provider with primary practice located at 5511 Highway 280 Ste 124, Birmingham AL 35242-6585. She recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Panthel, Lisa Alexandra can be contacted via phone (205) 623-0169.

Contact Information

Primary practice address
5511 Highway 280 Ste 124 Birmingham AL 35242-6585
Phone: (205) 623-0169
Fax: (205) 623-0167
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD001049 Georgia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD001049 Georgia
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X POD001049 Georgia
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X POD001049 Georgia

Profile Details

NPI number 1912925843
LBN Legal business name Panthel, Lisa Alexandra
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 9th, 2014 - about 11 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 1912925843 NPPES
Georgia MEDICAID 798702845B
Georgia Other P00364374

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