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
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	11970	NV
2	207R00000X	Internal Medicine Physician	11970	NV
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	11970	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

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	:	6880 S MCCARRAN BLVD STE 5
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-6129
Country	:	US
Telephone Number	:	775-398-1981
Fax Number	:	888-491-4526

Provider Business Practice Location Address
First Line	:	6880 S MCCARRAN BLVD STE 5
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-6129
Country	:	US
Telephone Number	:	775-398-1981
Fax Number	:	888-491-4526

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	12/10/2025

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

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