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LISA A. CORNELIUS DPM PC NPI 1669643383


NPI Information

NPI: 1669643383
Provider Name: LISA A. CORNELIUS DPM PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3640 NW SAMARITAN DR
CORVALLIS, OR
ZIP 97330
Phone: (541) 757-7100
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LISA A. CORNELIUS DPM PC is a podiatrist in Corvallis, OR. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. LISA A. CORNELIUS DPM PC NPI is 1669643383. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3640 NW SAMARITAN DR
CORVALLIS, OR
ZIP 97330-784
Phone: (541) 757-7100
Fax: (541) 757-7101

The provider's authorized official is Lisa Ann Cornelius .
The authorized official title is Physician and has the following contact phone number (541) 757-7100.

The enumeration date for this NPI number is 3/20/2008 and was last updated on 4/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristDP00209OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1021324MEDICAIDOREGON
2R121001MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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