Lisa R Rendon is a Hand Surgery in Eagle, Idaho. Lisa R Rendon practices all healthcare services and medical treatments related to Hand Surgery. The NPI Number for Lisa R Rendon is 1528049178. The last update date is 2012-05-22.
Lisa R Rendon's current location address is 3381 W Bavaria St, Eagle, Idaho. You can contact this provider via phone number 2082871110 and fax number 2086394801. The mailing address for Lisa R Rendon is 3381 W Bavaria St, Eagle, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa R Rendon |
|---|---|
| Address | 3381 W Bavaria St, Eagle, Idaho |
| Phone Number | 2082871110 |
| Fax Number | 2086394801 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1528049178 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2012-05-22 |
Provider Mailing Address Detail
| Address | 3381 W Bavaria St |
|---|---|
| City | Eagle |
| State | Idaho (ID) |
| Post Code | 836165341 |
| Phone Number | 2082871110 |
| Fax Number | 2086394801 |
Provider's Primary Taxonomy Detail
| Speciality | Hand Surgery |
|---|---|
| Taxonomy | 207Xs0106X |
| Licence No | M9105 |
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Definition: An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807057200 | ID | -- |
Post Comment/ Review Below
What is the Lisa R Rendon's 1528049178?
The Lisa R Rendon's NPI (National Provider Identifier) Number is 1528049178. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lisa R Rendon?
The Lisa R Rendon is physically situated at 3381 W Bavaria St, in the city of Eagle, state of ID, with the postal code 836165341.
What is Lisa R Rendon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lisa R Rendon is Hand Surgery, and the taxonomy code that classifies this field of practice is 207Xs0106X.
On what date was the 1528049178 assigned to Lisa R Rendon?
The Lisa R Rendon was issued its 1528049178 on 2005-11-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Lisa R Rendon's details last updated?
The information pertaining to the Lisa R Rendon, including its address, specialty, and other details, was most recently updated on 2012-05-22.