Lisa Edgerton

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LISA EDGERTON

Practice address

114 NE 107TH St
Miami Shores, FL 33161-7032

Phone

(305) 629-2669

Fax

(305) 981-2095

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Edgerton, DR

Title

Owner

Phone

(305) 629-2669

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801010657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 NE 107TH ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331617032",
            "telephone_number": "305-629-2669",
            "fax_number": "305-981-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 NE 107TH ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331617032",
            "telephone_number": "305-629-2669",
            "fax_number": "305-981-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA EDGERTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDGERTON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-629-2669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Therese Lepage, ARNP-BC
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• Blidgie Lightfoot, APRN
• Linda F Bach MD PA
• Michael David Lineman
• Lisa Edgerton DO PA
• Little People, P a
• Little Stars Dentistry of Miami Shores
• Little Stars Dentistry of Miami Shores
• Sheila Llanes, MD

• Internal Medicine Physician in Miami Shores, FL
• Providers in Miami Shores, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.