Veggeberg, Lisa Edelmon

Veggeberg, Lisa Edelmon is an individual health care provider with primary practice located at 1411 E Amarillo Blvd , Amarillo TX 79107-5555. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Veggeberg, Lisa Edelmon can be contacted via phone (806) 351-7600.

Contact Information

Primary practice address
1411 E Amarillo Blvd Amarillo TX 79107-5555
Phone: (806) 351-7600
Fax: (806) 351-7546
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X H4766 Texas

Profile Details

NPI number 1235163247
LBN Legal business name Veggeberg, Lisa Edelmon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235163247 NPPES
Texas MEDICAID 132385903

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