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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LISA ANN WHITTY BRADLEY, MD

Active Sole Proprietor

DR. LISA ANN WHITTY BRADLEY, MD is a Plastic and Reconstructive Surgery healthcare provider located in MUNSTER, Indiana. NPI 1801808662 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · MUNSTER, IN

Registration Details

NPI Number
1801808662
Provider Type
Individual
Gender
Female
NPI Issued
Aug 12, 2006 (20.015736549225 yrs)
Last Updated
Mar 16, 2021
Licenses
01079522B (IN)
01079522A (IN)
01079522A (IN)
Sole Proprietor
Yes

Practice Information

Address
7905 CALUMET AVE
MUNSTER, IN, 463212549
Browse IN providers · Browse ZIP 46321
Phone
2198367506
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X
Additional Specialty
General Surgery

Other Plastic and Reconstructive Surgery Providers in MUNSTER, IN

Name Credential NPI
DR. ROBERT E FRANK MD 1578517553
DR. JASON MICHAEL PETRUNGARO M.D. 1871765057
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.