Lisa J Learn, D.O.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

0510546L Issued in PA

Practice address

4900 West Oakland Park Blvd
Suite 300
Lauderdale Lakes, FL 33313-1583

Phone

(954) 380-8411

Fax

(954) 380-8413

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1245347889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 N FEDERAL HWY STE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086264",
            "telephone_number": "954-380-8411",
            "fax_number": "954-380-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 WEST OAKLAND PARK BLVD",
            "address_2": "SUITE 300",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131583",
            "telephone_number": "954-380-8411",
            "fax_number": "954-380-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARN",
        "first_name": "LISA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "0510546L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50051231",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1323204",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1520006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7128289",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018732010004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauderdale Lakes Medical Center, Inc.
• Lauderdale Orthopaedic Surgeons LLP
• Laura J. Zalcberg M.D. PA
• Natachia Lawrence-Osouna, PHARMD
• Paul Lazar
• Stephanie Leavitt, APRN
• Emily E Lee, LCSW
• Cassandra Renee Leen, LMT
• Betty Leonard
• Keith Jay Lerner, MD

• Plastic Surgery Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.