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Lisa Wade
NPI 1124265186 · on the registry since 2009
Practice
- Address
- 136 Rotunda Dr
Jupiter, FL 33477 - Phone
- (917) 626-6399
- Fax
- (407) 842-7921
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-01-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida