| Doctor Name: | LISA W. KEEP |
| NPI Number: | 1912175977 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD, MPH, FACPM |
| License Number: | ME97703 |
| Business Practice Address: | 11421 89th Rd Live Oak, FL - 320607175 |
| Business Phone Number: | 3863626851 |
| Business Fax Number: | 3863626851 |
| Mailing Address: | 11421 89th Rd, LIVE OAK |
| State: | FL |
| Postal Code: | 320607175 |
| Phone Number: | 3863626851 |
| Fax Number: | 3863626851 |
| NPI Enumeration Date: | 02/13/2008 |
| NPI Last Update Date: | 07/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME97703 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |