NPI Code Details Logo

NPI 1629501911

NPI 1629501911 : LISAI ZHANG D.O. : DELRAY BEACH, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1629501911
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LISAI ZHANG D.O.
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/04/2017
-----------------------------------------------------
    Last Update Date     |    05/14/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    15340 S JOG RD STE 200 
-----------------------------------------------------
    City                 |    DELRAY BEACH
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33446-2170
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    561-496-7200
-----------------------------------------------------
    Fax                  |    561-496-7989
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7593 W BOYNTON BEACH BLVD STE 220 
-----------------------------------------------------
    City                 |    BOYNTON BEACH
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33437-6162
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    561-493-7200
-----------------------------------------------------
    Fax                  |    561-496-7989
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    OS16579
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.