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NPI Code Detail

MEDICARE: LISA CATHERINE KASSE ARNP

MEDICARE:   LISA CATHERINE KASSE  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerARNP1454462FL

General Provider Information

NPI Number : 1124040027
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA CATHERINE KASSE ARNP
Provider Business Mailing Address
First Line : 4215 BURNS RD
Second Line : SUITE 200
City : PALM BEACH GARDENS
State : FL
Zip : 33410-4625
Country : US
Telephone Number : 561-694-7776
Fax Number : 561-694-3099
Provider Business Practice Location Address
First Line : 4215 BURNS ROAD
Second Line : SUITE 100
City : PALM BEACH GARDENS
State : FL
Zip : 33410-4627
Country : US
Telephone Number : 561-694-7776
Fax Number : 561-694-3099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2006
Last Update Date : 03/08/2016

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Directions to “ LISA CATHERINE KASSE ARNP” Practice Location

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