Provider Demographics
NPI:1215181433
Name:KARSTEN, LISA M (RPH)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:M
Last Name:KARSTEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7802 VILLA NOVA DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-1027
Mailing Address - Country:US
Mailing Address - Phone:561-750-3435
Mailing Address - Fax:
Practice Address - Street 1:7802 VILLA NOVA DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-1027
Practice Address - Country:US
Practice Address - Phone:561-750-3435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS26245183500000X
FLPU53881835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No183500000XPharmacy Service ProvidersPharmacist