Individual
DR. LISA WINCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
355 AVE FONT MARTELO, HUMACAO, PR 00791-3249
(787) 852-0768
Mailing address
PO BOX 859, HUMACAO, PR 00792-0859
(787) 852-0768
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A92650
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A926500
—
CA
01
—
00A926500 L81
CAL OPTIMA
CA
Enumeration date
10/06/2006
Last updated
08/10/2007
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