Doctor Name: | DR. LISA MICHELLE BEAN |
NPI Number: | 1760782817 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | TRN14227 |
Business Practice Address: | 3855 Health Sciences Dr # 987 La Jolla, CA - 920930987 |
Business Phone Number: | 8588226199 |
Business Fax Number: | 8588226319 |
Mailing Address: | 5654 Leesway Blvd, PENSACOLA |
State: | FL |
Postal Code: | 325047726 |
Phone Number: | 5403252458 |
Fax Number: | 8504162467 |
NPI Enumeration Date: | 10/22/2010 |
NPI Last Update Date: | 08/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | TRN14227 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |