Individual
LISA WERKHEISER RENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Mailing address
501 S SHARON AMITY RD, STE 300, CHARLOTTE, NC 28211-0035
(704) 319-5821
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200700316
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14485
BCBSNC
NC
05
—
59-07469
—
NC
05
—
N0031D
—
SC
01
—
P00401483
RR MEDICARE
NC
Enumeration date
04/04/2007
Last updated
08/10/2020
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