Lisa Forsythe, DIPL.O.M., L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP761 Issued in FL

Practice address

1250 W. Eau Gallie Blvd.
Suite H
Melbourne, FL 32935

Phone

(321) 757-9731

Fax

(321) 757-5069

NPI assigned

Jan 12, 2016

Last updated

Jan 12, 2016By the provider in NPPES

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": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1528424132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N. U.S. HWY 441",
            "address_2": "SUITE 1106",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-391-9266",
            "fax_number": "352-391-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W. EAU GALLIE BLVD.",
            "address_2": "SUITE H",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32935",
            "telephone_number": "321-757-9731",
            "fax_number": "321-757-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSYTHE",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "DIPL.O.M., L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.