| Doctor Name: | MS. LISA ANN JOSEPH |
| NPI Number: | 1396116281 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | ARNP 2502982 |
| Business Practice Address: | 3434 Hancock Bridge Plwy Ste 301 North Fort Myers, FL - 339037094 |
| Business Phone Number: | 8778563774 |
| Business Fax Number: | 2395992625 |
| Mailing Address: | 4881 Palm Beach Blvd, Suite 100 FORT MYERS |
| State: | FL |
| Postal Code: | 339053217 |
| Phone Number: | 2396939191 |
| Fax Number: | 2396937369 |
| NPI Enumeration Date: | 10/17/2015 |
| NPI Last Update Date: | 10/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP 2502982 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |