Individual
DR. LISA C HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1713 HWY 441 N, STE F, OKEECHOBEE, FL 34972
(863) 763-8000
(863) 763-8212
Mailing address
1713 HWY 441 N, STE F, OKEECHOBEE, FL 34972
(863) 763-8000
(863) 763-8212
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01046928A
IN
207VG0400X
Gynecology Physician
Primary
ME144643
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000371648
ANTHEM
IN
05
—
200148850
—
IN
01
—
P00313457
MEDICARE RR
—
Enumeration date
01/26/2006
Last updated
05/14/2020
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