Organization · Type 2 NPI
Lisa Edgerton Do PA
Adult Medicine Physician · Miami Shores, FL
NPI number
1366615254
Active
Practice location
114 NE 107th St
Miami Shores, FL 33161-7032
Fax (305) 654-5270
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | OS 8636 (FL) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
About NPI 1366615254
Lisa Edgerton Do PA's National Provider Identifier is 1366615254, issued on Apr 11, 2008. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Miami Shores, FL. The record was last updated on Apr 11, 2008.