Lisa Edgerton

NPI #1801010657 in Miami Shores, Florida

Provider Information

NPI Number
1801010657
Entity Type
Organization
Organization Name
Lisa Edgerton
Primary Specialty
Internal Medicine
Enumeration Date
Apr 12, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
114 NE 107TH ST
State
Florida
ZIP Code
33161-7032
Phone
(305) 629-2669

Authorized Official

Name
DR. LISA EDGERTON, DR
Title
OWNER
Phone
(305) 629-2669

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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