Individual
DR. LISA KAY HUSEBOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
10650 W STATE ROAD 84 STE 208, DAVIE, FL 33324-4235
(754) 778-8685
(954) 208-9854
Mailing address
10650 W STATE ROAD 84 STE 208, DAVIE, FL 33324-4235
(754) 778-8685
(954) 208-9854
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
CH6941
FL
Other
Enumeration date
06/04/2018
Last updated
07/27/2024
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