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Dr. Lisa Marie Edgerton

Internist Family Doctor - Adult Medicine

114 Ne 107th St
Miami Shores , Florida 33161-7032

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Dr. Lisa Marie Edgerton

Internist Family Doctor - Adult Medicine

114 Ne 107th St
Miami Shores , Florida 33161-7032

(305) 654-5270

Write a Review Save Call

Dr. Lisa Marie Edgerton

Internist Family Doctor - Adult Medicine

114 Ne 107th St
Miami Shores , Florida 33161-7032

(305) 654-5270 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor - Adult Medicine
  • Internist

Languages spoken

  • English

Location

114 Ne 107th St Miami Shores , Florida 33161-7032

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

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FAQs


Where did Dr. Lisa Marie Edgerton attend graduate school?

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Where did Dr. Lisa Marie Edgerton do her residency?

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Where did Dr. Lisa Marie Edgerton do her fellowship?

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Is Dr. Lisa Marie Edgerton board certified?

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In what state does Dr. Lisa Marie Edgerton practice in?

Florida

Where is Dr. Lisa Marie Edgerton ’s practice located?

114 Ne 107th St , Miami Shores, Florida, 33161-7032

What is Dr. Lisa Marie Edgerton ’s gender?

Female

Is Dr. Lisa Marie Edgerton a sole practitioner?

No

Is Dr. Lisa Marie Edgerton accepting new patients?

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What languages does Dr. Lisa Marie Edgerton speak?

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Does Dr. Lisa Marie Edgerton accept insurance?

Yes, Dr. Lisa Marie Edgerton accepts insurance

Does Dr. Lisa Marie Edgerton offers telemedicine?

Dr. Lisa Marie Edgerton has not indicated if she offers telemedicine

What is Dr. Lisa Marie Edgerton ’s professional license number?

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What is Dr. Lisa Marie Edgerton ’s NPI number?

1093816266

Does Dr. Lisa Marie Edgerton have any license restrictions?

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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)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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