Individual provider · Type 1 NPI

Lisa Renee Chacko, MD, MPH

Family Medicine Physician · Gainesville, FL

NPI number 1104264654 Active

Practice location

1707 N Main St
Gainesville, FL 32609-3650

Mailing address

1600 SW Archer Rd, Box 100383
Gainesville, FL 32610-0383

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XME128039 (FL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1104264654

Lisa Renee Chacko, MD, MPH's National Provider Identifier is 1104264654, issued on Jun 6, 2013. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Gainesville, FL. The record was last updated on Feb 5, 2025.