Lisa Zack
Dermatologist Dermatopathologist Procedural Dermatology Pediatric Dermatologist and 1 more
801 Anchor Rode Dr Ste 100
Naples
, Florida 34103-2742
Lisa Zack
Dermatologist Dermatopathologist Procedural Dermatology Pediatric Dermatologist and 1 more
801 Anchor Rode Dr Ste 100
Naples
, Florida 34103-2742
(239) 403-9410
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Dermatopathologist
- Pediatric Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Lisa Zack
- 801 Anchor Rode Dr Ste 100
- Naples, FL
- Zip : 34103-2742
- Fax : (239) 403-9410
- Phone : (239) 263-1717
Second Address
- Lisa Zack
- 801 Anchor Rode Dr Ste 100
- Naples, FL
- Zip : 34103-2742
- Fax : (239) 403-9410
- Phone : (239) 263-1717
Reviews
FAQs
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What is Lisa Zack ’s gender?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | ME56408 | FL |
| N | 207ND0101X | MOHS-Micrographic Surgeon | ME56408 | FL |
| Y | 207ND0900X | Dermatopathologist | ME56408 | FL |
| N | 207NP0225X | Pediatric Dermatologist | ME56408 | FL |
| N | 207NS0135X | Procedural Dermatology | ME56408 | FL |
National Provider Identifier
| NPI | 1467458984 |
|---|---|
| Provider Name | Lisa Zack |
| First Address | Naples, FL 34103-2742 |
| Second Address | Naples, FL 34103-2742 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2005 |
| Last Update Date | 29/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0387142 | UNITED HEALTHCARE (01) | FL |
| 08856 | BCBS (01) | FL |
| 568740 | BCBS PA (01) | FL |
| 713505 | TUFTS (01) | FL |
| C43107 | (02) | FL |
| ZE2985 | BCBS MA (01) | 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.