Individual provider · Type 1 NPI

Lisa Mari Sukenaga

Military Health Care Provider · Fort Bragg, NC

NPI number 1417605502 Active

Practice location

2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001

Call (910) 907-8922 Map

Fax (910) 907-6069

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1417605502

Lisa Mari Sukenaga's National Provider Identifier is 1417605502, issued on Mar 16, 2022. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Bragg, NC. The record was last updated on Jun 26, 2025.