Individual
LISANDRA PEREZ GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
459 SE GALLEON LN, PORT ST LUCIE, FL 34983-2210
(786) 641-4882
Mailing address
459 SE GALLEON LN, PORT ST LUCIE, FL 34983-2210
(786) 641-4882
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN-9537161
FL
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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