Provider Demographics
NPI:1184053555
Name:ALMANZA, LISANDRA (CRT)
Entity type:Individual
Prefix:MRS
First Name:LISANDRA
Middle Name:
Last Name:ALMANZA
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9930 NW 26TH ST
Mailing Address - Street 2:9930 NW 26TH ST
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1347
Mailing Address - Country:US
Mailing Address - Phone:305-746-9393
Mailing Address - Fax:786-353-2072
Practice Address - Street 1:9930 NW 26TH ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1347
Practice Address - Country:US
Practice Address - Phone:305-746-9393
Practice Address - Fax:786-353-2072
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTT 15645227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified