Individual
CHRISTINE LILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13782 PLANTATION RD STE 201, FORT MYERS, FL 33912-4462
(239) 849-8780
Mailing address
12109 PALM COVE ST, FORT MYERS, FL 33913-8724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9438955
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11033915
FL
Other
Enumeration date
03/29/2021
Last updated
08/26/2024
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