Lisa Edgerton Do PA

NPI #1366615254 in Miami Shores, Florida

Provider Information

NPI Number
1366615254
Entity Type
Organization
Organization Name
Lisa Edgerton Do PA
Primary Specialty
Family Medicine - Adult Medicine
Enumeration Date
Apr 11, 2008
Last Updated
Apr 11, 2008

Practice Location

Address
114 NE 107TH ST
State
Florida
ZIP Code
33161-7032
Phone
(786) 390-8684

Authorized Official

Name
DR. LISA M EDGERTON, D.O.
Title
PRESIDENT
Phone
(786) 390-8684

Specialties & Taxonomy Codes

Specialty
Family Medicine - Adult MedicineAdult Medicine

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