LISA I THEBNER

BRONX, NY
NPI1962559724
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: NY  221300)
Enumeration Date2007-01-04
Last Update Date2007-07-08
Business Address
LISA I THEBNER MD
3415 BAINBRIDGE AVENUE CHAM
BRONX, NY 10467
Phone number: 718-741-2150
Mailing Address
LISA I THEBNER MD
24 ELDERBERRY LN
VALLEY STREAM, NY 11581-1739
Phone number: 718-741-2150