Lisa Marie Behnke
Individual provider Active NPI Internal Medicine Physician · Estero, FL
NPI 1669364931 · NPPES record last updated Jul 19, 2025
Key facts
- NPI
- 1669364931
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- ME100479 (FL)
- Practice address
- 19647 Casa Verde Way
Estero, FL 33967-0512 - Phone
- (305) 215-3076
- NPI assigned
- Jul 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME100479 | FL | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME100479 | FL | Yes |
Addresses
Primary practice location
19647 Casa Verde Way
Estero, FL 33967-0512
Mailing address
19647 Casa Verde Way
Estero, FL 33967-0512
Phone (305) 215-3076
Other providers in Estero, FL
- Martha Barzana-Fernandez
- Joseph William Bascuas
- Shristi Basnyat
- Richard F. Beatty
- Kimberly Beaugez
- Robert Paul Belin
- Olivier Belizaire
- Ricardo Bendeck
- Valmira Bendi
- Barbara Bensema
All providers in Estero, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.