Healthcare Provider Details

I. General information

NPI: 1265896500
Provider Name (Legal Business Name): LISA FUCHS D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2016
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9281 W BAY HARBOR DR APT 10
BAY HARBOR ISLANDS FL
33154-2735
US

IV. Provider business mailing address

9281 W BAY HARBOR DR APT 10
BAY HARBOR ISLANDS FL
33154-2735
US

V. Phone/Fax

Practice location:
  • Phone: 718-938-6380
  • Fax: 305-703-0320
Mailing address:
  • Phone: 718-938-6380
  • Fax: 305-703-0320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number4700
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN007050
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: