Individual
DR. LISA BROTHERS ARBISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036-076217
IL
207W00000X
Ophthalmology Physician
Primary
23550
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060350
IA GROUP MEDICAID #
IA
05
—
0211318
—
IA
01
—
26568
IA GROUP MEDICARE #
IA
01
—
790730
IL GROUP MEDICARE #
IL
Enumeration date
08/15/2005
Last updated
03/04/2014
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