Individual
KEANAN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
11725 OXFORD ST, SEMINOLE, FL 33772-6513
(727) 225-1366
Mailing address
11725 OXFORD ST, SEMINOLE, FL 33772-6513
(727) 225-1366
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11025100
FL
Other
Enumeration date
03/06/2023
Last updated
03/15/2023
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