Organization
LISA MEDWEDEFF M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA E MEDWEDEFF MD PA (PHYSICIAN/OWNER)
(972) 608-3333
Entity
Organization
Contact information
Practice address
5425 W SPRING CREEK PKWY, STE 210, PLANO, TX 75024-4236
(972) 608-3333
(972) 473-7333
Mailing address
5425 W SPRING CREEK PKWY, STE 210, PLANO, TX 75024-4236
(972) 608-3333
(972) 473-7333
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K1257
TX
Other
Enumeration date
02/18/2009
Last updated
07/10/2014
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