Individual provider · Type 1 NPI
Lisa L. Faulk, LMT
Specialist · Waldo, FL
NPI number
1811129240
Active
Practice location
14020 NE County Road 1471
Waldo, FL 32694-4504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA42120 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1811129240
Lisa L. Faulk, LMT's National Provider Identifier is 1811129240, issued on Aug 19, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Waldo, FL. The record was last updated on Aug 19, 2009.