Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA MARIE EDGERTON, D.O.
Active Sole ProprietorDR. LISA MARIE EDGERTON, D.O. is a Hospitalist healthcare provider located in MIAMI SHORES, Florida. NPI 1093816266 is currently active in the NPPES registry. Verify at CMS.
Hospitalist · MIAMI SHORES, FL
Registration Details
- NPI Number
- 1093816266
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2006 (19.895427707782 yrs)
- Last Updated
- Sep 4, 2020
- Licenses
-
OS 8636 (FL)5101013599 (MI)5101013599 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
114 NE 107TH STMIAMI SHORES, FL, 331617032Browse FL providers · Browse ZIP 33161
- Phone
- 7863908684
- Fax
- 3056545270
- Primary Specialty
-
Hospitalist
208M00000X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Hospitalist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.