Individual
DR. LISA ANN CORNELIUS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3640 NW SAMARITAN DR, CORVALLIS, OR 97330-3784
(541) 757-7100
(541) 757-7101
Mailing address
3640 NW SAMARITAN DR, CORVALLIS, OR 97330-3784
(541) 757-7100
(541) 757-7101
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00209
OR
Other
Enumeration date
08/11/2005
Last updated
07/08/2007
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