Provider Demographics
NPI:1871241372
Name:EINSTEDER, LISA L (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:L
Last Name:EINSTEDER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18263 FLAGSHIP CIR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-3363
Mailing Address - Country:US
Mailing Address - Phone:561-747-0051
Mailing Address - Fax:
Practice Address - Street 1:18263 FLAGSHIP CIR
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3363
Practice Address - Country:US
Practice Address - Phone:561-747-0051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9166209163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse