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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 Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for LISA C HENDRICKS · (Female)

NPI # 1932170263
Status Active
Credentials MD
Entity Individual
Enumeration date 01/26/2006
Last updated 05/14/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME144643
  • IN License # 01046928A
  • IN Medicaid 200148850
  • Other P00313457 MEDICARE RR
  • IN Other 000000371648 ANTHEM
Hospital affiliation(s)
  • RAULERSON HOSPITAL - (Acute Care)
    1796 HWY 441 NORTH
    OKEECHOBEE, FL 34972
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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