Lisa M Krawczun DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9011 Issued in FL

Legal business name

LISA M KRAWCZUN DC PA

Practice address

931 Oakfield Dr
Brandon, FL 33511-4935

Phone

(813) 385-4442

NPI assigned

Mar 4, 2008

Organization subpart

No

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

Authorized official

Name

Lisa M Krawczun, DO

Title

Owner

Phone

(813) 385-4442

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1801066097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 VICTORIA ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104107",
            "telephone_number": "813-385-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114935",
            "telephone_number": "813-385-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M KRAWCZUN DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "KRAWCZUN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-385-4442",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.