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Dr. Lisa R Rendon, MD
Orthopedic Hand Surgery Physician in Eagle, Idaho
NPI 1528049178

Lisa R Rendon is a Orthopedic Hand Surgery Physician based in Eagle, ID and is specialized in Hand Surgery. Lisa R Rendon practices in Eagle, ID and has the professional credentials of MD. The NPI Number for Lisa R Rendon is 1528049178 and holds a License No. M9105 (Idaho).

The current practice location address for Lisa R Rendon is 3381 W Bavaria St, Eagle, ID and can be reached out via phone at 208-287-1110 and via fax at 208-639-4801.

Location: 3381 W Bavaria St, Eagle, ID, 83616-5341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528049178
Provider Name
Lisa R Rendon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3381 W Bavaria St, Eagle, ID, 83616-5341
Phone Number
208-287-1110
Fax Number
208-639-4801
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807057200 05 ID
institution
Provider Business Practice Location Address Details
Address
3381 W Bavaria St
City
Eagle
State
Idaho
Zip
83616-5341
Phone Number
208-287-1110
Fax Number
208-639-4801
person
Provider Business Mailing Address Details
Address
3381 W Bavaria St
City
Eagle
State
Idaho
Zip
83616-5341
Phone Number
208-287-1110
Fax Number
208-639-4801
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Hand Surgery
Taxonomy
207XS0106X
License No.
M9105 (Idaho)
Definition
An orthopedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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