Provider Demographics
NPI:1215993886
Name:FIGUEROA, LISA M (MD)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:M
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4909 GREEN RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-3418
Mailing Address - Country:US
Mailing Address - Phone:919-790-0288
Mailing Address - Fax:919-790-0723
Practice Address - Street 1:4909 GREEN RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-3418
Practice Address - Country:US
Practice Address - Phone:919-790-0288
Practice Address - Fax:919-790-0723
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200500142207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1215993886OtherNPI
1215993886OtherNPI
NCI52551Medicare ID - Type Unspecified