Lisa Zack, MD
Lisa Zack, MD is a Micrographic Dermatologic Surgery (Mds) in Naples, Florida. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1984, 42 years ago. Practices with Lisa D Zack MD PA, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 42
- Trained at
- University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
- Licensed in
- FL
- In the registry since
- 2005
- Specialties on file
- 6
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
801 Anchor Rode Dr Ste 100Naples, FL 34103-2742
Phone: (239) 263-1717
Fax: (239) 403-9410
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 19910 S Tamiami Trl Ste B, Estero, FL 33928-4140 — (239) 676-8677
Specialties & licences
| Dermatopathology Physician (primary) | Taxonomy 207ND0900X · Licence ME56408 (FL) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence ME56408 (FL) |
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence ME56408 (FL) |
| Clinical & Laboratory Dermatological Immunology Physician | Taxonomy 207NI0002X · Licence ME56408 (FL) |
| Pediatric Dermatology Physician | Taxonomy 207NP0225X · Licence ME56408 (FL) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence ME56408 (FL) |
Record details
| NPI number | 1467458984 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 21, 2005 |
| Last updated in NPPES | September 29, 2020 |
| Certification date | September 29, 2020 |
| Mailing address | 801 Anchor Rode Dr, Ste 100, Naples, FL 34103-2742 |
Medicare enrollment
| Medicare specialty | MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) |
|---|---|
| Also practises | DERMATOLOGY |
| Medical school | UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB) |
| Graduated | 1984 (42 years in practice) |
| Group practice | Lisa D Zack Md Pa — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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