Individual
LISA MARIE ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5621 SKYTOP DRIVE, LITHIA, FL 33547-4165
(813) 571-6800
(813) 654-9939
Mailing address
4033 TAMPA RD, SUITE 101, OLDSMAR, FL 34677-3224
(813) 854-2003
(813) 855-2367
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME89565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270151100
—
FL
01
—
37550
BLCR BCSHEILD
—
Enumeration date
02/24/2006
Last updated
06/10/2021
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