Basic Information
| Provider Information | |||||||||
| NPI: | 1376594325 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GEER-YAN | ||||||||
| FirstName: | LISA | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8431 POINTE LOOP DR | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | VENICE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342932232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9412075330 | ||||||||
| FaxNumber: | 9412075346 | ||||||||
| Practice Location | |||||||||
| Address1: | 8431 POINTE LOOP DR | ||||||||
| Address2: | 2ND FLOOR | ||||||||
| City: | VENICE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342932232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9412075330 | ||||||||
| FaxNumber: | 9412075346 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/15/2006 | ||||||||
| LastUpdateDate: | 11/13/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VG0400X | 047058 | CT | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology | 207VG0400X | ME124443 | FL | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology |
No ID Information.