Individual
MRS. LISA PAULINE SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
518 SW PRIMA VISTA BLVD, PORT SAINT LUCIE, FL 34983-8734
(561) 801-0851
Mailing address
1447 SE GRAPELAND AVE, PORT SAINT LUCIE, FL 34952-4949
(561) 801-0851
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
03/12/2013
Last updated
04/15/2025
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