Lisa Kathryn Debrauwere in Marianna - Specialist
Lisa Kathryn Debrauwere - NPI 1164636700
Lisa Kathryn Debrauwere is a Specialist in Marianna, Florida. Lisa Kathryn Debrauwere practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lisa Kathryn Debrauwere is 1164636700. The last update date is 2007-07-08.
Lisa Kathryn Debrauwere's current location address is 2584 Governors Ct, Marianna, Florida. You can contact this provider via phone number 8505263349. The mailing address for Lisa Kathryn Debrauwere is 2584 Governors Ct, Marianna, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Kathryn Debrauwere |
|---|---|
| Address | 2584 Governors Ct, Marianna, Florida |
| Phone Number | 8505263349 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1164636700 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2584 Governors Ct |
|---|---|
| City | Marianna |
| State | Florida (FL) |
| Post Code | 324466399 |
| Phone Number | 8505263349 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MA49208 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identification code assigned to Lisa Kathryn Debrauwere by the Centers for Medicare & Medicaid Services?
The Lisa Kathryn Debrauwere has been issued the NPI (National Provider Identifier) 1164636700. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Lisa Kathryn Debrauwere is located?
The Lisa Kathryn Debrauwere is situated at the following address: 2584 Governors Ct, Marianna, FL, 324466399.
What is Lisa Kathryn Debrauwere's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa Kathryn Debrauwere is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Lisa Kathryn Debrauwere receive its 1164636700 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Kathryn Debrauwere was assigned its 1164636700 by the Centers for Medicare & Medicaid Services on 2007-05-10.
As of what date were the details related to Lisa Kathryn Debrauwere most recently updated or revised?
The information pertaining to Lisa Kathryn Debrauwere, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.