IndividualActive
Lisa Sukenaga
NPI 1417605502 · Military Health Care Provider · Fort Bragg, NC
Provider details
- NPI number
- 1417605502
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Student, Health Care
Practice location
2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Phone: (910) 907-8922
Fax: (910) 907-6069
Approximate (ZIP-level) locationGet directions
Mailing address
2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Registry dates
- Enumerated
- 2022-03-16
- Last updated
- 2025-06-26
- Certified
- 2025-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.