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Contact Information

LISA A. CORNELIUS DPM PC
3640 NW SAMARITAN DR
CORVALLIS, OR97330-3784
 Phone: 541-757-7100
 Fax: 541-757-7101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for LISA A. CORNELIUS DPM PC

NPI # 1669643383
LBN Legal business name LISA A. CORNELIUS DPM PC
Authorized official LISA CORNELIUS - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2008
Last updated 04/17/2008 - About 18 years ago
Identifiers
OR License # DP00209
OR Medicaid 021324
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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