Lisa Kae Brandes, MD
Family Medicine in Cheyenne, WY. Individual provider (NPI-1).
NPI number1720186471
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720186471
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lisa Kae Brandes
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 7417A | WY | Yes |
Practice location
820 East 17th StreetCheyenne, WY 82001-4797
Phone 307-632-2434 · Fax 307-634-9295
Mailing address
820 East 17th StreetCheyenne, WY 82001-4797
Phone 307-777-7911 · Fax 307-638-3616
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 104 Family Medicine Physician providers in Cheyenne · All 3,729 providers in Cheyenne
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