Individual
DR. LISA LYNN VENDELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D. O.
Contact information
Practice address
115 PARKWAY OFFICE CT STE 104, CARY, NC 27518-7436
(919) 851-3480
Mailing address
2904 MILLS LAKE WYND, HOLLY SPRINGS, NC 27540-9741
(727) 992-0707
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2015-00767
NC
207V00000X
Obstetrics & Gynecology Physician
OS8107
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260021800
—
FL
01
—
P00030730
RAILROAD MEDICARE
FL
Enumeration date
04/25/2006
Last updated
05/20/2021
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