Provider Demographics
NPI:1851599922
Name:CRIGLER, LISA B (DPM)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:B
Last Name:CRIGLER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:MRS
Other - First Name:LISA
Other - Middle Name:BETH
Other - Last Name:DODENHOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:616 E ALTAMONTE DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-4810
Mailing Address - Country:US
Mailing Address - Phone:407-331-3668
Mailing Address - Fax:407-331-3700
Practice Address - Street 1:616 E ALTAMONTE DRIVE
Practice Address - Street 2:SUITE 205
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-4810
Practice Address - Country:US
Practice Address - Phone:407-331-3668
Practice Address - Fax:401-331-3700
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3242213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOTH000Medicare UPIN