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DR. LISA MARK M.D.M.P.H.FACOG NPI 1750688800


NPI Information

NPI: 1750688800
Provider Name: DR. LISA MARK, M.D.M.P.H.FACOG
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

CLIA Number: 10D2061684

Address:
9917 PINES BLVD
PEMBROKE PINES, FL
ZIP 33024
Phone: (954) 330-8604
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DR. Lisa Mark, M.D.M.P.H.FACOG is a gynecology obstetrics gynecology in Pembroke Pines, FL. DR. Lisa Mark, M.D.M.P.H.FACOG NPI is 1750688800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9917 PINES BLVD
PEMBROKE PINES, FL
ZIP 33024-174
Phone: (954) 330-8604

The CLIA number assigned to this NPI record is 10D2061684 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/24/2011 and was last updated on 7/15/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecologyME100791FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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