Individual
DR. LISA LEAH MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3501 MILLS AVE, AUSTIN, TX 78731-6309
(512) 324-3380
(512) 324-3379
Mailing address
1601 RIO GRANDE ST, SUITE 340, AUSTIN, TX 78701-1137
(512) 324-8960
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
N9466
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284443301
—
TX
05
—
284443302
—
TX
Enumeration date
01/31/2008
Last updated
01/17/2013
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