| Doctor Name: | DR. LISA ANN GREEN |
| NPI Number: | 1558349654 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.C. |
| License Number: | CH0006683 |
| Business Practice Address: | 1304 N University Dr Coral Springs, FL - 330716623 |
| Business Phone Number: | 9549770888 |
| Business Fax Number: | 9548040933 |
| Mailing Address: | 11350 Nw 1st Ct, CORAL SPRINGS |
| State: | FL |
| Postal Code: | 330718174 |
| Phone Number: | 9542705610 |
| Fax Number: | 9547753931 |
| NPI Enumeration Date: | 01/09/2006 |
| NPI Last Update Date: | 01/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 111N00000X |
| License Number: | CH0006683 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Chiropractic Providers |
| Taxonomy Classification: | Chiropractor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |