Organization
LISA D ZACK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY ANN SMITH (BILLING)
(239) 263-1717
Entity
Organization
Contact information
Practice address
801 ANCHOR RODE DRIVE, SUITE 100, NAPLES, FL 34103-2742
(239) 263-1717
(239) 403-9410
Mailing address
801 ANCHOR RODE DRIVE, SUITE 100, NAPLES, FL 34103-2742
(239) 263-1717
(239) 403-9410
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
12/29/2011
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