Individual
LISSA H. NIRENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AP, DOM
Contact information
Practice address
195 GIRALDA AVE, CORAL GABLES, FL 33134-5208
(305) 567-1973
(305) 567-1974
Mailing address
15540 PALMETTO LAKE DR, MIAMI, FL 33157-1752
(305) 323-3123
(877) 809-2795
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 1850
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0904
BCBS PROVIDER #
FL
Enumeration date
09/22/2005
Last updated
07/08/2007
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