Individual
LISA J WAIZENEGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5830 LAKE UNDERHILL RD, ORLANDO, FL 32807-4311
(407) 658-0228
(407) 282-5483
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3724
(786) 907-4485
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME98558
FL
Other
Enumeration date
06/01/2005
Last updated
12/19/2022
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