Lisa Malt, MED

Counselor · Fort Myers, FL

Individual Active NPI

NPI number 1093204927

Practice location

1614 Colonial Blvd
Fort Myers, FL 33907-1135
Phone
(239) 936-6724

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NPI record

NPI
1093204927
Entity type
Individual (Type 1)
Enumeration date
May 7, 2018
Last updated
May 7, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

Mailing address

1225 SW 34TH Ter
Cape Coral, FL 33914-5147
Phone
(239) 850-1127

About Lisa Malt

Lisa Malt, MED is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 1614 Colonial Blvd, Fort Myers, FL 33907-1135. The NPI number 1093204927 was assigned on May 7, 2018 and the record was last updated on May 7, 2018.

Frequently asked questions

What is the NPI number of Lisa Malt, MED?

The NPI number is 1093204927.

What is the phone number of Lisa Malt?

The phone number listed for the practice location is (239) 936-6724.

Where is Lisa Malt located?

1614 Colonial Blvd, Fort Myers, FL 33907-1135.

What is the taxonomy code for Lisa Malt?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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