LISA I. THEBNER MD – NPI #1962559724
Pediatrics

A pediatrician who has special qualifications to manage emergencies in infants and children.

LISA THEBNER is a physician located in BRONX, NY. NPPES has assigned the NPI number 1962559724 to LISA THEBNER on January 04, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0204X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Emergency Medicine

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LISA THEBNER below.

NPI Profile for
LISA I. THEBNER

NPI Number
1962559724
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LISA I. THEBNER
Credentials
MD
Primary location
3415 BAINBRIDGE AVENUE
CHAM
BRONX, NY 10467
Phone: (718) 741-2150 Fax:
Mailing address
24 ELDERBERRY LN
VALLEY STREAM, NY 11581-1739
Phone: (718) 741-2150 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0204X
- Pediatrics / Pediatric Emergency Medicine (Primary)
NY 221300

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.