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Organization

L E BRAND, MD CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA ELAINE BRAND MD (GENERAL SURGEON)
(805) 322-8490
Entity
Organization

Contact information

Practice address
4542 LAS POSAS RD STE D, CAMARILLO, CA 93010-2521
(805) 322-8490
(805) 586-8066
Mailing address
5235 MISSION OAKS BLVD # 301, CAMARILLO, CA 93012-5400

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A126474
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104178193
NPI
Enumeration date
10/06/2017
Last updated
11/02/2023
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