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NPI Code Detail

MEDICARE: LISA ABRAHAM

MEDICARE: LISA ABRAHAM
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
1225X00000XOccupational Therapist20034FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427600477
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ABRAHAM
Provider Business Mailing Address
First Line : 4780 DATA CT
Second Line :
City : ORLANDO
State : FL
Zip : 32817-8331
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1441 WINTER GARDEN VINELAND RD
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-4303
Country : US
Telephone Number : 407-852-3347
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2019
Last Update Date : 09/09/2022

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Directions to “ LISA ABRAHAM ” Practice Location

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