Individual
MISS LISA ANN NORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1106 OHIO AVE STE 200, LYNN HAVEN, FL 32444-2510
(850) 271-0086
Mailing address
1106 OHIO AVE STE 200, LYNN HAVEN, FL 32444-2510
(850) 271-0086
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA31988
FL
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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