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Lisa M Denobriga, MD
Student in an Organized Health Care Education/Training Program in Dixon, Illinois
NPI 1205088671

Lisa M Denobriga is a Student in an Organized Health Care Education/Training Program based in Dixon, IL. Lisa M Denobriga practices in Dixon, IL and has the professional credentials of MD. The NPI Number for Lisa M Denobriga is 1205088671 and holds a License No. 125055578 (Illinois).

The current practice location address for Lisa M Denobriga is 102 S Hennepin Ave, Dixon, IL and can be reached out via phone at 815-288-7711 and via fax at 815-285-8903. You can also correspond with Lisa M Denobriga through the mailing address at 102 S HENNEPIN AVE, DIXON, IL - 61021-3083 (mailing address contact number: 815-288-7711).

Location: 102 S Hennepin Ave, Dixon, IL, 61021-3083
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205088671
Provider Name
Lisa M Denobriga
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
102 S Hennepin Ave, Dixon, IL, 61021-3083
Phone Number
815-288-7711
Fax Number
815-285-8903
Provider Enumeration Date
10/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
102 S Hennepin Ave
City
Dixon
State
Illinois
Zip
61021-3083
Phone Number
815-288-7711
Fax Number
815-285-8903
person
Provider Business Mailing Address Details
Address
102 S Hennepin Ave
City
Dixon
State
Illinois
Zip
61021-3083
Phone Number
815-288-7711
Fax Number
815-285-8903
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
125055578 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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