Doctor Name: | DR. LISA JOY ROSENBERG |
NPI Number: | 1326013764 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD074189L |
Business Practice Address: | 874 American Pacific Dr Henderson, NV - 890148800 |
Business Phone Number: | 7027774809 |
Business Fax Number: | 7027774822 |
Mailing Address: | 874 American Pacific Dr, HENDERSON |
State: | NV |
Postal Code: | 890148800 |
Phone Number: | 7027778687 |
Fax Number: | 7027771799 |
NPI Enumeration Date: | 02/21/2006 |
NPI Last Update Date: | 07/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD074189L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |