Individual
LISA A BRANDENBURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2564 NW EDENBOWER BLVD, SUITE 126, ROSEBURG, OR 97471-8821
(541) 673-2223
(541) 672-5828
Mailing address
2750 W HARVARD AVE, ROSEBURG, OR 97471-2608
(541) 673-8988
(541) 672-8103
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD26928
OR
207RH0000X
Hematology (Internal Medicine) Physician
MD26928
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006006
—
OR
Enumeration date
05/26/2006
Last updated
07/03/2008
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