National Provider Identifier Database

LISA C HENDRICKS, MD – NPI #1932170263
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

LISA C HENDRICKS, MD
1713 HWY 441 N
STE F
OKEECHOBEE, FL34972
Phone: 863-763-8000
Fax: 863-763-8212
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X
Obstetrics & Gynecology 207V00000X

* Indicates primary specialty

NPI Profile & details for LISA C HENDRICKS

NPI Number 1932170263
Credentials MD
Entity Individual
Enumeration date 01/26/2006
Last updated 05/14/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME144643
  • IN License #: 01046928A
  • IN Medicaid: 200148850
  • Other: P00313457 MEDICARE RR
  • IN Other: 000000371648 ANTHEM
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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