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Contact Information

AVERY B LISENBE
2000 PEPPERELL PKWY
OPELIKA, AL36801-5452
 Phone: 334-528-1112
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for AVERY B LISENBE · (Female)

NPI Number 1871080739
Status Active
Credentials
Entity Individual
Enumeration date 04/17/2018
Last updated 06/15/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 42332
Hospital affiliation(s)
  • EAST ALABAMA MEDICAL CENTER AND SNF - (Acute Care)
    2000 PEPPERELL PARKWAY
    OPELIKA, AL 36801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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