| Doctor Name: | LISSA M JEAN PIERRE |
| NPI Number: | 1720077019 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | ME85417 |
| Business Practice Address: | 10081 Pines Blvd Suite D Pembroke Pines, FL - 330246184 |
| Business Phone Number: | 9544306900 |
| Business Fax Number: | |
| Mailing Address: | 10081 Pines Blvd, Suite D PEMBROKE PINES |
| State: | FL |
| Postal Code: | 330246184 |
| Phone Number: | 9544306900 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2005 |
| NPI Last Update Date: | 11/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME85417 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |