Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | DO-519 | AL |
NPI | 1043380686 |
---|---|
Provider Name | Lisa Oestreich |
First Address | Birmimgham, AL 35255-5310 |
Second Address | Birmingham, AL 35205-3606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 30/11/2015 |