Dr. Lisa Marie Edgerton
Internist Family Doctor - Adult Medicine
114 Ne 107th St
Miami Shores
, Florida 33161-7032
Dr. Lisa Marie Edgerton
Internist Family Doctor - Adult Medicine
114 Ne 107th St
Miami Shores
, Florida 33161-7032
(305) 654-5270
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About
Features
Specialties
- Family Doctor - Adult Medicine
- Internist
Languages spoken
- English
Location
First Address
- Dr. Lisa Marie Edgerton
- 114 Ne 107th St
- Miami Shores, FL
- Zip : 33161-7032
- Fax : (305) 654-5270
- Phone : (786) 390-8684
Second Address
- Dr. Lisa Marie Edgerton
- 114 Ne 107th St
- Miami Shores, FL
- Zip : 33161-7032
- Fax : (305) 654-5270
- Phone : (786) 390-8684
Reviews
FAQs
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Is Dr. Lisa Marie Edgerton a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QA0505X | Family Doctor - Adult Medicine | OS 8636 | FL |
| N | 207R00000X | Internist | 5101013599 | MI |
| N | 111NI0900X | Internist | 5101013599 | MI |
National Provider Identifier
| NPI | 1093816266 |
|---|---|
| Provider Name | Dr. Lisa Marie Edgerton |
| First Address | Miami Shores, FL 33161-7032 |
| Second Address | Miami Shores, FL 33161-7032 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2006 |
| Last Update Date | 04/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2647761 00 | (05) | FL |
| H32748 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.