Individual
DR. LISA J BRANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1801 N. HAMPTON RD, STE 340, DESOTO, TX 75115-8317
(972) 293-9650
(972) 291-2533
Mailing address
445 E FM 1382, #3-111, CEDAR HILL, TX 75104-6047
(972) 293-9650
(972) 291-2533
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1204
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
1204
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136477012
—
TX
01
—
8V8260
BLUE SHIELD
TX
Enumeration date
02/24/2006
Last updated
01/27/2017
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