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Individual
STACIE LYNN LILLY
Active
Individual
STACIE LYNN LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9278130
FL
363LA2100X
Acute Care Nurse Practitioner
9278130
FL
Other
Enumeration date
01/21/2018
Last updated
01/25/2026
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