Provider Demographics
NPI:1962662684
Name:LONGHOFER, LISA K (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:K
Last Name:LONGHOFER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6907 JOHN DAVID CIR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-1636
Mailing Address - Country:US
Mailing Address - Phone:806-358-0600
Mailing Address - Fax:806-358-0601
Practice Address - Street 1:6907 JOHN DAVID CIR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79124-1636
Practice Address - Country:US
Practice Address - Phone:806-358-0600
Practice Address - Fax:806-358-0601
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP68612086S0105X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand