Provider Demographics
NPI:1811514961
Name:LEMASTERS, ISABEL MARGARITA (APRN)
Entity type:Individual
Prefix:MRS
First Name:ISABEL
Middle Name:MARGARITA
Last Name:LEMASTERS
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 E BARNETT RD
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-8345
Mailing Address - Country:US
Mailing Address - Phone:541-646-9400
Mailing Address - Fax:
Practice Address - Street 1:2500 E BARNETT RD
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-8345
Practice Address - Country:US
Practice Address - Phone:541-646-9400
Practice Address - Fax:541-646-9414
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-05
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202010826NP-PP207Q00000X, 363LF0000X
SC24068363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCML6314582OtherDEA #