Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA L FAULK, LMT
Active Sole ProprietorMRS. LISA L FAULK, LMT is a Specialist healthcare provider located in WALDO, Florida. NPI 1811129240 is currently active in the NPPES registry. Verify at CMS.
Specialist · WALDO, FL
Registration Details
- NPI Number
- 1811129240
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2009 (17.007969891814 yrs)
- Last Updated
- Aug 19, 2009
- License
-
MA42120 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14020 NE COUNTY ROAD 1471WALDO, FL, 326944504Browse FL providers · Browse ZIP 32694
- Phone
- 3524683270
- Primary Specialty
-
Specialist
174400000X
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.