Provider Demographics
NPI:1760472427
Name:ZACHER, LISA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:LYNN
Last Name:ZACHER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:14902 MEDUSA
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:TX
Mailing Address - Zip Code:78154-3407
Mailing Address - Country:US
Mailing Address - Phone:210-658-4151
Mailing Address - Fax:
Practice Address - Street 1:BAMC CREDENTIALS: MCHE-QD
Practice Address - Street 2:3851 ROGER BROOKE DRIVE
Practice Address - City:FT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-6200
Practice Address - Country:US
Practice Address - Phone:210-916-1404
Practice Address - Fax:210-916-0700
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SD3585207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease