Domaradzki, Lisa Marie

Domaradzki, Lisa Marie is an individual health care provider with primary practice located at 1600 Nw 10Th Ave , Miami FL 33136-1015. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Domaradzki, Lisa Marie can be contacted via phone (305) 243-6387.

Contact Information

Primary practice address
1600 Nw 10Th Ave Miami FL 33136-1015
Phone: (305) 243-6387
Fax: (305) 243-6372
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME144908 Florida

Profile Details

NPI number 1932526977
LBN Legal business name Domaradzki, Lisa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2014
Last updated Jun 22nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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