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Individual
LOURDES CHACON HERNANDEZ
Active
Individual
LOURDES CHACON HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-18-70812
FL
163W00000X
Registered Nurse
RN9551811
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11024442
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11024442
FL
Other
Enumeration date
02/19/2019
Last updated
02/09/2026
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