Individual
PROF. ELIZABETH ANN POLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ARNP, WHNP-BC
Contact information
Practice address
1733 LAKELAND HILLS BLVD, WOMEN'S CARE FLORIDA, LAKELAND OB-GYN, LAKELAND, FL 33805-3016
(863) 688-1528
(863) 688-8423
Mailing address
2750 GREYHAWK ESTATES LN, LAKELAND, FL 33812-5803
(417) 293-8605
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
143823
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428958102
—
MO
Enumeration date
09/20/2006
Last updated
01/07/2013
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