| NPI | 1205242765 |
|---|---|
| Former Name | LISA DOAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5372) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E5372) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CA E5372) | |
| Enumeration Date | 2014-07-05 |
| Last Update Date | 2022-07-21 |