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NPI Code Detail

MEDICARE: DR. LISA JOY ROSENBERG MD

MEDICARE:  DR. LISA JOY ROSENBERG  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0300XGeriatric Medicine (Internal Medicine) Physician11970NV
2207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician11970NV
3207R00000XInternal Medicine Physician11970NV

Other Identifiers

General Provider Information

NPI Number : 1326013764
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LISA JOY ROSENBERG MD
Provider Business Mailing Address
First Line : 2963 KEDLESTON ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-2232
Country : US
Telephone Number : 702-468-8012
Fax Number :
Provider Business Practice Location Address
First Line : 2963 KEDLESTON ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-2232
Country : US
Telephone Number : 702-468-8012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 12/04/2025

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Directions to “ DR. LISA JOY ROSENBERG MD” Practice Location

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