institution
Lisa M Judge M D P A
Gynecology Physician in Niceville, Florida
NPI 1124220009

Lisa M Judge M D P A is a Gynecology Physician based in Niceville, FL and is specialized in Gynecology. Lisa M Judge M D P A practices in Niceville, FL. The NPI Number for Lisa M Judge M D P A is 1124220009 and holds a License No. (Florida).

The current practice location address for Lisa M Judge M D P A is 552 Twin Cities Blvd, Niceville, FL and can be reached out via phone at 850-729-1414 and via fax at 850-729-8700.

Location: 552 Twin Cities Blvd, Niceville, FL, 32578-1055
institution
Provider Profile Details
NPI Number
1124220009
Provider Name
Lisa M Judge M D P A
Credential
Provider Entity Type
Organization
Address
552 Twin Cities Blvd, Niceville, FL, 32578-1055
Phone Number
850-729-1414
Fax Number
850-729-8700
Provider Enumeration Date
06/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DN7294 01 FL RR MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
552 Twin Cities Blvd
City
State
Zip
32578-1055
Phone Number
850-729-1414
Fax Number
850-729-8700
person
Provider Business Mailing Address Details
Address
552 Twin Cities Blvd
City
State
Zip
32578-1055
Phone Number
850-729-1414
Fax Number
850-729-8700
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
()
Definition
Definition to come...
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