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Organization
LUCIDITY WELLNESS GROUP LLC
Active
Organization
LUCIDITY WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE HARRIS PMHNP-BC, ACNS-BC (OWNER/PRACTICE MANAGER)
(850) 215-4060
Entity
Organization
Contact information
Practice address
803 JENKS AVE, STE 1A, PANAMA CITY, FL 32401
(850) 215-4060
(850) 481-1578
Mailing address
803 JENKS AVE, STE 1A, PANAMA CITY, FL 32401
(850) 215-4060
(850) 481-1578
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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