Lisa a. Cornelius DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DP00209 Issued in OR

Legal business name

LISA A. CORNELIUS DPM PC

Practice address

3640 NW Samaritan Dr
Corvallis, OR 97330-3784

Phone

(541) 757-7100

Fax

(541) 757-7101

NPI assigned

Mar 20, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lisa Ann Cornelius, DPM

Title

Physician

Phone

(541) 757-7100

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1669643383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 NW SAMARITAN DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303784",
            "telephone_number": "541-757-7100",
            "fax_number": "541-757-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 NW SAMARITAN DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303784",
            "telephone_number": "541-757-7100",
            "fax_number": "541-757-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA A. CORNELIUS DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "CORNELIUS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "541-757-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021324",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Lindsley
• Sofia Alexandra Lindstrom
• Kathleen Adell Link, LCSW
• Aidan Linsteadt
• Kristin Lipe, DO
• Kristie L Lisenby
• Cam Wayne Little, D.D.S.
• Juana Little
• Lizaphor J Little, PHARM.D.
• Samara Liu

• Podiatrist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.