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LISA DIANE FRISCHKORN B.A.

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1417086133

Individual Registrant:
 LISA DIANE FRISCHKORN B.A.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2900 W PROSPECT RD.  FT.LAUDERDALE, FL 33309 US
Tel: 954-677-3113  Fax: 954-497-3857

Contact information for business:
1251 OLD HIATUS RD  PLANTATION, FL 33323-2423 US
Tel: 954-423-1915  Fax: --

Registration Information:
NPI: 1417086133
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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