Zack, Lisa
Zack, Lisa is an individual health care provider with primary practice located at 801 Anchor Rode Dr Ste 100, Naples FL 34103-2742. She recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Zack, Lisa can be contacted via phone (239) 263-1717.Contact Information
Primary practice address
801 Anchor Rode Dr Ste 100
Naples FL 34103-2742
Phone: (239) 263-1717
Fax: (239) 403-9410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME56408 | Florida |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ME56408 | Florida |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | ME56408 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | ME56408 | Florida |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | ME56408 | Florida |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | ME56408 | Florida |
Profile Details
| NPI number | 1467458984 |
|---|---|
| LBN Legal business name | Zack, Lisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Sep 29th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467458984 | NPPES |
| Florida | Other | 0387142 | UNITED HEALTHCARE |
| Florida | Other | 08856 | UNITED HEALTHCARE |
| Florida | Other | ZE2985 | UNITED HEALTHCARE |
| Florida | Other | 713505 | UNITED HEALTHCARE |
| Florida | Other | 568740 | UNITED HEALTHCARE |
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