| Dr Lisa R Rendon, MD | |
|
3381 W Bavaria St, Eagle, ID 83616-5341 | |
| (208) 287-1110 | |
| (208) 639-4801 |
| Full Name | Dr Lisa R Rendon |
|---|---|
| Gender | Female |
| Speciality | Orthopaedic Surgery - Hand Surgery |
| Location | 3381 W Bavaria St, Eagle, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528049178 | NPI | - | NPPES |
| 807057200 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | M9105 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa R Rendon, MD 3381 W Bavaria St, Eagle, ID 83616-5341 Ph: (208) 287-1110 | Dr Lisa R Rendon, MD 3381 W Bavaria St, Eagle, ID 83616-5341 Ph: (208) 287-1110 |
Joseph P Kelly, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3381 W Bavaria St, Eagle, ID 83616 Phone: 208-639-4800 | |
Dr. Joseph Gordon Daines, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 766 W Colchester Dr, Eagle, ID 83616 Phone: 208-401-4790 | |
Dr. Vipul N Nanavati, MD, BSME, CAQH Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3381 W Bavaria St, Eagle, ID 83616 Phone: 208-639-4800 Fax: 208-639-4801 | |
Dr. Carl Scott Humphrey, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 3381 W Bavaria Street, Eagle, ID 83616 Phone: 208-639-4800 Fax: 208-639-4801 |