Lisa Fedewa
Counselor · Daytona Beach, FL
NPI number
1265776454
Practice location
259 Bill France BlvdSuite 200
Daytona Beach, FL 32114-1316
- Phone
- (904) 586-6560
NPI record
- NPI
- 1265776454
- Entity type
- Individual (Type 1)
- Enumeration date
- November 12, 2012
- Last updated
- August 5, 2014
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X |
— | — |
Mailing address
1955 Leap Frog LnMiddleburg, FL 32068-9095
About Lisa Fedewa
Lisa Fedewa is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 259 Bill France Blvd, Suite 200, Daytona Beach, FL 32114-1316. The NPI number 1265776454 was assigned on November 12, 2012 and the record was last updated on August 5, 2014.
Frequently asked questions
What is the NPI number of Lisa Fedewa?
The NPI number is 1265776454.
What is the phone number of Lisa Fedewa?
The phone number listed for the practice location is (904) 586-6560.
Where is Lisa Fedewa located?
259 Bill France Blvd, Suite 200, Daytona Beach, FL 32114-1316.
What is the taxonomy code for Lisa Fedewa?
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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