Individual
LISA ERIN KENIGSBERG FECHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1131 N 35TH AVE STE 200, HOLLYWOOD, FL 33021-5403
(954) 265-2234
(954) 893-6300
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
MD043265
DC
2080P0205X
Pediatric Endocrinology Physician
Primary
ME134866
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023663100
—
FL
Enumeration date
07/01/2009
Last updated
04/07/2022
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