NPI

Lisa Basarab

NPI 1972049500

Read from the NPPES registry on October 25, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2017-01-06
Last updated
2017-01-06

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Specialties

Licenses

License NY
001809

Location

Practice location
3451 Chrysler Dr
City
Jacksonville FL
Postal code
32257-5405
Phone
(904) 631-2943

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Specialist/Technologist, Athletic Trainer providers in Jacksonville, FL. 150 with this primary taxonomy in the public file.

Other NPIs in Jacksonville, FL. 31,483 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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