Individual
DR. LISA MARIE AENLLE
Active
Individual
DR. LISA MARIE AENLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME116754
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14S7G
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
01
—
3751549
UNITED HEALTH CARE PPO
FL
01
—
P012358113
MEDICARE RAILROAD
FL
Enumeration date
07/17/2008
Last updated
10/06/2022
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