LISA A PANTHEL, D.P.M, Surgery, Foot & Ankle BIRMINGHAM, AL

Contact Information

LISA A PANTHEL, D.P.M

5511 HIGHWAY 280
STE 124
BIRMINGHAM, AL 35242-6585

Phone: 205-623-0169
Fax: 205-623-0167
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgery, Foot & Ankle	213ES0103X	48	Podiatry
Podiatrist	213E00000X	48	Podiatry
Primary Podiatric Medicine	213EP1101X	48	Podiatry
Surgery, Foot	213ES0131X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for LISA A PANTHEL · (Female)

NPI #	`1912925843`
Status	Active
Credentials	D.P.M
Entity	Individual
Enumeration date	07/18/2006
Last updated	04/09/2014 - About 12 years ago
Sole proprietor ¹	No
Identifiers	GA License # POD001049 GA Medicaid 798702845B GA Other P00364374 RAILROAD MEDICARE
Hospital affiliation(s)	Not Available

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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