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Organization
LPR PROFESSIONAL HEALTH CLINIC INC
Active
Organization
LPR PROFESSIONAL HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAM PEREZ RODRIGUEZ APRN (APRN)
(786) 597-4260
Entity
Organization
Contact information
Practice address
1518 NE VAN LOON LN, CAPE CORAL, FL 33909-2798
(786) 597-4260
Mailing address
1518 NE VAN LOON LN, CAPE CORAL, FL 33909-2798
(786) 597-4260
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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