Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA R RENDON, M.D.
Active Sole ProprietorDR. LISA R RENDON, M.D. is a Orthopaedic Surgery of the Spine healthcare provider located in EAGLE, Idaho. NPI 1528049178 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery of the Spine · EAGLE, ID
Registration Details
- NPI Number
- 1528049178
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 10, 2005 (20.80484614373 yrs)
- Last Updated
- May 22, 2012
- License
-
M9105 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3381 W BAVARIA STEAGLE, ID, 836165341Browse ID providers · Browse ZIP 83616
- Phone
- 2082871110
- Fax
- 2086394801
- Primary Specialty
-
Orthopaedic Surgery of the Spine
207XS0106X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.