Individual
LISA W. KEEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH, FACPM
Contact information
Practice address
11421 89TH RD, LIVE OAK, FL 32060-7175
(386) 362-6851
(386) 362-6851
Mailing address
11421 89TH RD, LIVE OAK, FL 32060-7175
(386) 362-6851
(386) 362-6851
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
ME97703
FL
208D00000X
General Practice Physician
ME97703
FL
Other
Enumeration date
02/13/2008
Last updated
07/08/2011
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