All Medicaid billing entities listing LICEAGA, LISA (PHYSICIAN) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Florida | 1 | $158.15 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | DR. LISA LICEAGA, LLC | ALTAMONTE SPRINGS, FL | Medical Specialty Clinic/Center | $158.15 |