Lisa Kathryn Debrauwere, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA49208 Issued in FL

Practice address

4230 Lafayette St Ste C
Massage Room
Marianna, FL 32446-8231

Phone

(850) 482-2051

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164636700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2584 GOVERNORS CT",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324466399",
            "telephone_number": "850-526-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 LAFAYETTE ST STE C",
            "address_2": "MASSAGE ROOM",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324468231",
            "telephone_number": "850-482-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBRAUWERE",
        "first_name": "LISA",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA49208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Davis, CRNA
• Jeffrey K. Davis, OD
• Marion Bert Davis Jr., OD
• Brenda G Dean, ARNP
• Murphy Elizabeth Debaat Doelman, OTR/L
• Dermatology Associates of Bay County, P.a.
• Sean Despin, LDO 6789
• Dominica J. Debrauwere LCSW, DCSW, Inc.
• Charles Edward Donald Jr., RMHCI
• Anthony Yao Dorbu, MD

• Specialist in Marianna, FL
• Providers in Marianna, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.