Barker, Lisa Waggoner

Barker, Lisa Waggoner is an individual health care provider with primary practice located at 2061 Collier Pkwy , Land O Lakes FL 34639-5202. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Barker, Lisa Waggoner can be contacted via phone (727) 845-5707.

Contact Information

Primary practice address
2061 Collier Pkwy Land O Lakes FL 34639-5202
Phone: (727) 845-5707
Fax: (813) 501-8250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30616 Kentucky
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2086H0002X ME128980 Florida

Profile Details

NPI number 1205807500
LBN Legal business name Barker, Lisa Waggoner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205807500 NPPES
Other 000000045747 BLUE CROSS AND BLUE SHIELD
Other 000000583695 BLUE CROSS AND BLUE SHIELD
MEDICAID 64306160 BLUE CROSS AND BLUE SHIELD

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