Individual
LISA MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305-1056
(334) 793-5000
Mailing address
4370 W MAIN ST, DOTHAN, AL 36305-1056
(334) 793-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11030485
FL
Other
Enumeration date
02/26/2024
Last updated
01/29/2025
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