Organization
LISA KAY MAO MD PA
Active
Other names
Lisa Kay Mao MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA KAY MAO MD (OWNER)
(954) 648-4929
Entity
Organization
Contact information
Practice address
1445 NW BOCA RATON BLVD, BOCA RATON, FL 33432
(561) 997-8100
(561) 338-7785
Mailing address
5560 NW 38TH TERRACE, COCONUT CREEK, FL 33073-4132
(954) 648-4929
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME60043
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37046880
—
FL
Enumeration date
03/15/2006
Last updated
08/22/2020
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