{"npi":"1467458984","type":"NPI-1","status":"active","name":{"display":"Lisa Zack M.D.","other":[],"first":"LISA","last":"ZACK","credential":"M.D."},"specialty":{"primary_taxonomy":"207ND0900X","primary_taxonomy_description":"Dermatopathology Physician","slug":"dermatopathology-physician","schema_org_specialty":null,"all":[{"code":"207N00000X","description":"Dermatology","primary":false,"state":"FL","license":"ME56408"},{"code":"207ND0101X","description":"Dermatology, Mohs Surgery","primary":false,"state":"FL","license":"ME56408"},{"code":"207NI0002X","description":"Dermatologic Immunology","primary":false,"state":"FL","license":"ME56408"},{"code":"207NP0225X","description":"Pediatric Dermatology Physician","primary":false,"state":"FL","license":"ME56408"},{"code":"207NS0135X","description":"Procedural Dermatology Physician","primary":false,"state":"FL","license":"ME56408"},{"code":"207ND0900X","description":"Dermatopathology Physician","primary":true,"state":"FL","license":"ME56408"}]},"addresses":[{"purpose":"LOCATION","street_1":"801 ANCHOR RODE DR","city":"NAPLES","state":"FL","postal_code":"341032742","country_code":"US","street_2":"STE 100","phone":"2392631717","fax":"2394039410"},{"purpose":"MAILING","street_1":"801 ANCHOR RODE DR","city":"NAPLES","state":"FL","postal_code":"341032742","country_code":"US","street_2":"STE 100","phone":"2392631717","fax":"2394039410"}],"license":{"state":"FL","number":"ME56408"},"identifiers":[{"type_code":"01","label":"Other","value":"0387142","state":"FL","issuer":"UNITED HEALTHCARE"},{"type_code":"01","label":"Other","value":"08856","state":"FL","issuer":"BCBS"},{"type_code":"01","label":"Other","value":"ZE2985","state":"FL","issuer":"BCBS MA"},{"type_code":"01","label":"Other","value":"713505","state":"FL","issuer":"TUFTS"},{"type_code":"01","label":"Other","value":"568740","state":"FL","issuer":"BCBS PA"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070925000545","type_code":"14-D7","type_desc":"PRACTITIONER - MICROGRAPHIC DERMATOLOGIC SURGERY (MDS)","state":"FL","pac_id":"5698869311"}]},"enumeration_date":"2005-06-21","last_updated":"2020-09-29","_meta":{"source":"NPPES","snapshot_date":"2020-09-29","doc_url":"https://findmynpi.com/api"}}