| Lisa D Coventry | |
|
1400 E Oakland Park Blvd Suite 100 Oakland Park FL 33334-4400 | |
| (954) 599-2047 | |
| Not Available |
| Full Name | Lisa D Coventry |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1400 E Oakland Park Blvd, Oakland Park, Florida |
| Authorized Official Name and Position | Lisa D Coventry (OWNER) |
| Authorized Official Contact | 9545992047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa D Coventry 1400 E Oakland Park Blvd Suite 100 Oakland Park FL 33334-4400 Ph: (954) 599-2047 | Lisa D Coventry 1400 E Oakland Park Blvd Suite 100 Oakland Park FL 33334-4400 Ph: (954) 599-2047 |
| NPI Number | 1457762163 |
|---|---|
| Provider Enumeration Date | 05/15/2014 |
| Last Update Date | 10/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457762163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW6839 (Florida) | Primary |
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