Individual
LISA RENFRO
Active
Individual
LISA RENFRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
M35991
MD
207NS0135X
Procedural Dermatology Physician
Primary
M35991
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4909
BC/BS NATIONAL CAPITAL
DC
01
—
LR75
BC/BS OF MD
MD
Enumeration date
11/30/2005
Last updated
07/13/2026
Update your record
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