Individual
DR. LISA J LEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4900 WEST OAKLAND PARK BLVD, SUITE 300, LAUDERDALE LAKES, FL 33313-1583
(954) 380-8411
(954) 380-8413
Mailing address
3536 N FEDERAL HWY STE 100, FORT LAUDERDALE, FL 33308-6264
(954) 380-8411
(954) 380-8413
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0510546L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018732010004
—
PA
01
—
1323204
BLUE SHIELD
PA
01
—
1520006
GATEWAY
PA
01
—
50051231
CAPITAL BLUE CROSS
PA
01
—
7128289
AETNA
PA
Enumeration date
08/23/2006
Last updated
03/06/2024
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