Individual
DR. LISA MARIE AENLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1660 MEDICAL BLVD STE 200, NAPLES, FL 34110-1416
(239) 566-3434
(877) 812-5411
Mailing address
3451 PINE RIDGE RD BLDG 601, NAPLES, FL 34109-3922
(239) 449-3072
(877) 334-1886
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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