# LISA KAY MAO MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lisa Kay Mao MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730158551
- **Authorized official:** DR. LISA KAY MAO MD (OWNER)
- **Authorized official phone:** (954) 648-4929

## Contact information

- **Practice address:** 1445 NW BOCA RATON BLVD, BOCA RATON, FL 33432
- **Practice address phone:** (561) 997-8100
- **Practice address fax:** (561) 338-7785
- **Mailing address:** 5560 NW 38TH TERRACE, COCONUT CREEK, FL 33073-4132
- **Mailing address phone:** (954) 648-4929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME60043 | FL | Yes |

## Other

- **Enumeration date:** 03/15/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 37046880 | — | FL |