Individual
MRS. LISA FREEMAN-BAGNALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0111
Mailing address
5551 SE 126TH AVE, MORRISTON, FL 32668-3642
(352) 215-0149
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2106772
FL
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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