Individual
DR. LISA ANN FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
233 OSCEOLA AVE, ORMOND BEACH, FL 32176-6638
(386) 672-6424
(386) 672-5251
Mailing address
233 OSCEOLA AVE, ORMOND BEACH, FL 32176-6638
(386) 672-6424
(386) 672-5251
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO-2653
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO-2653
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390372900
—
FL
Enumeration date
08/31/2005
Last updated
08/23/2013
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