Individual
MISS LISA M PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13110 US HIGHWAY 1, SEBASTIAN, FL 32958-3735
(772) 581-8900
(772) 388-9154
Mailing address
13110 US HIGHWAY 1, SEBASTIAN, FL 32958-3735
(772) 581-8900
(772) 388-9154
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
F05200224
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
11009100
FL
Other
Enumeration date
07/13/2020
Last updated
01/19/2023
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