Individual
LISA THORSON WAHLESTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
212 AUSTRALIAN AVE, PALM BEACH, FL 33480-4626
(561) 835-3875
Mailing address
212 AUSTRALIAN AVE, PALM BEACH, FL 33480-4626
(561) 835-3875
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
ME 104170
FL
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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