Individual
LISA MARIE LAUDERDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1840 MEASE DR, SUITE 402, SAFETY HARBOR, FL 34695-6602
(727) 330-7652
Mailing address
2109 GULL LN, SAFETY HARBOR, FL 34695-4919
(727) 726-3223
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP1726292
FL
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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