Individual
LISA PAULETTE PANISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9009 CORPORATE LAKE DR, TAMPA, FL 33634-2367
(727) 433-0157
Mailing address
9009 CORPORATE LAKE DR, TAMPA, FL 33634-2367
(727) 433-0157
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN2975062
FL
Other
Enumeration date
01/25/2007
Last updated
08/19/2019
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