Individual
LISA LEWIS MANRIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1406 COLUMBUS BLVD, CORAL GABLES, FL 33134-2351
(305) 778-6404
Mailing address
1406 COLUMBUS BLVD, CORAL GABLES, FL 33134-2351
(305) 778-6404
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11030353
FL
Other
Enumeration date
12/29/2023
Last updated
01/22/2024
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