Individual
ELISSA WHITTENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2460 GREENTREE RD STE D, LEBANON, OH 45036-9604
(314) 888-5233
(513) 880-0676
Mailing address
726 E MAIN ST STE F, LEBANON, OH 45036-1900
(314) 888-5233
(513) 880-0676
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35075467
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201052320
—
IN
05
—
2589337
—
OH
05
—
7100198050
—
KY
Enumeration date
06/13/2006
Last updated
02/12/2026
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