LISA M WHEATLEY MD

Allergy and Immunology

Eugene, Oregon

Provider NPI: 1982682811

Provider Information:
 LISA M WHEATLEY MD


Practice Location:
920 COUNTRY CLUB RD STE 200A EUGENE, OR 97401 US
Tel: 541-342-2134  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	OR	MD21920

Other Provider Identifiers:

Issuer	Number	State	Type
	134129	OR	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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