Individual
DR. LISANDRO MIGUEL MONTORFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1002 N CHURCH ST STE 100, GREENSBORO, NC 27401-1447
(336) 890-2210
Mailing address
110 19TH AVE S APT 1618TH, NASHVILLE, TN 37203-2717
(843) 442-9845
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2024-03284
NC
208600000X
Surgery Physician
TRN# 19647
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158504375
DRIVERS LICENSE
TN
Enumeration date
05/19/2016
Last updated
06/24/2025
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