Provider Demographics
NPI:1598809980
Name:TURNIPSEED, LISA A (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:A
Last Name:TURNIPSEED
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MISS
Other - First Name:LISA
Other - Middle Name:J
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:2790 SE 36TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-6840
Mailing Address - Country:US
Mailing Address - Phone:352-629-0236
Mailing Address - Fax:
Practice Address - Street 1:2640 NE 14TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-4802
Practice Address - Country:US
Practice Address - Phone:352-622-6099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0022335183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0556050211Medicare PIN