Lissa Company
NPI #1275271371 in North Lauderdale, Florida
Provider Information
- NPI Number
- 1275271371
- Entity Type
- Organization
- Organization Name
- Lissa Company
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- May 27, 2022
- Last Updated
- May 27, 2022
Practice Location
- Address
- 7593 HAMPTON BLVD
- City
- North Lauderdale
- State
- Florida
- ZIP Code
- 33068-5586
- Phone
- (845) 405-9970
Authorized Official
- Name
- MELISSA MIRAMBEAU-BROUSSARD, ADMINISTRATOR
- Title
- CEO
- Phone
- (845) 405-9970
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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