Individual
LISA C BRENIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4760 UNION DEPOSIT RD, SUITE 100, HARRISBURG, PA 17111-3744
(717) 545-9811
(717) 545-9979
Mailing address
4760 UNION DEPOSIT RD STE 100, HARRISBURG, PA 17111-3744
(717) 545-9811
(717) 545-9979
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA051112
PA
363A00000X
Physician Assistant
Primary
PA61614209
WA
Other
Enumeration date
05/03/2006
Last updated
10/16/2025
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