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DR. LISANDRO G CARNERO VIDAL M.D.
NPI 1639325947
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since August 18, 2008
1500 E MEDICAL CENTER DR, 2207 TC, SPC 5342, ANN ARBOR, MI 48109(734) 936-5733 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lisandro G Carnero Vidal M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISANDRO G CARNERO VIDAL M.D. (NPI 1639325947) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4301092925) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1639325947
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. LISANDRO G CARNERO VIDALCredential: M.D.
Location Address1500 E MEDICAL CENTER DR, 2207 TC, SPC 5342Ann Arbor, MI 48109-5000
Mailing Address1500 E Medical Center Dr, 2207 Tc, Spc 5342Ann Arbor, MI 48109-5000 · (734) 936-5733
Phone(734) 936-5733
Sole ProprietorYes
Enumeration DateAugust 18, 2008
✔ NPI 1639325947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4301092925
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOKMAN SUNG MD
Pathology (Forensic Pathology)
1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109
Washtenaw County (800) 862-7284
SAMEER DEV SAINI M.D.
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
KYLE DAVID PERRY MD
Pathology (Cytopathology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
DR. DAVID ALEXANDER STEWART M.D.
Pediatrics
1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109
Washtenaw County (734) 763-5302
DR. MICHAEL EDMUND WATSON MD
Pediatrics (Pediatric Infectious Diseases)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
CARRIE KRAEGER PORTER PA-C
Physician Assistant
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-6666
DENISE LYNN BERRY CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
KETTI SOPHIA PETERSEN MD
Family Medicine (Hospice and Palliative Medicine)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisandro Carnero Vidal's NPI number?

The NPI number for Lisandro Carnero Vidal is 1639325947. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Where is Lisandro Carnero Vidal located?

Lisandro Carnero Vidal practices at 1500 E Medical Center Dr 2207 Tc, Spc 5342, Ann Arbor, MI 48109. The listed phone number is (734) 936-5733.

What is Lisandro Carnero Vidal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lisandro Carnero Vidal was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.