Individual
MRS. DEBORAH LYNN RENEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
4523 HALLAMVIEW LN, LAKELAND, FL 33813-1814
(863) 284-5941
Mailing address
4523 HALLAMVIEW LN, LAKELAND, FL 33813-1814
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9178246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303971400
—
FL
Enumeration date
06/21/2005
Last updated
07/08/2021
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