Individual
DR. LISA DIANE HERZIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 NE NEFF RD, BEND, OR 97701-6337
(541) 706-6843
(541) 598-3444
Mailing address
4800 SAND POINT WAY NE, M/S OC.9.840, SEATTLE, WA 98105-3901
(206) 987-2210
(206) 987-3824
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
MD60272117
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/19/2009
Last updated
07/06/2022
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