Individual
LISA SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13224 W BROWARD BLVD, PLANTATION, FL 33325
(954) 400-5504
(954) 400-5503
Mailing address
13224 W BROWARD BLVD, PLANTATION, FL 33325
(954) 400-5504
(954) 400-5503
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC186501
OR
Other
Enumeration date
02/22/2019
Last updated
11/28/2022
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