| Dale Lisonbee, | |
|
1350 Teakwood Ave, Coos Bay, OR 97420-2537 | |
| (541) 266-4019 | |
| Not Available |
| Full Name | Dale Lisonbee |
|---|---|
| Gender | Male |
| Speciality | Audiologist |
| Location | 1350 Teakwood Ave, Coos Bay, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750782751 | NPI | - | NPPES |
| 121108 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 21124 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dale Lisonbee, 1350 Teakwood Ave, Coos Bay, OR 97420-2537 Ph: () - | Dale Lisonbee, 1350 Teakwood Ave, Coos Bay, OR 97420-2537 Ph: (541) 266-4019 |
Sandra Renae Randolph, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4595 | |
Mr. James Robert Kornbau, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 160 S 2nd St, Coos Bay, OR 97420 Phone: 541-266-9639 Fax: 541-266-9763 |