Avery Berlin Lisenbe

NPI #1871080739 in Opelika, Alabama

Provider Information

NPI Number: 1871080739
Entity Type: Individual
Name: Avery Berlin Lisenbe
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Enumeration Date: Apr 17, 2018
Last Updated: Jun 15, 2021

Practice Location

Address: 2000 PEPPERELL PKWY
City: Opelika
State: Alabama
ZIP Code: 36801-5452
Phone: (334) 528-1112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Emergency Medicine	207P00000X	Primary

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