NPI Profile for LISA M GONZALEZ in THE VILLAGES, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Interventional Pain Medicine |
208VP0014X | 09 | Physician/Interventional Pain Management |
| NPI # | 1316583362 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/25/2019 | |
| Last updated | 08/14/2025 - About 10 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LISA M GONZALEZ
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