Individual
LISA ROSE POWNALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 TROPIC BAY CT, ORLANDO, FL 32807-6390
(407) 489-2121
(407) 382-2458
Mailing address
PO BOX 1785, MINNEOLA, FL 34755-1785
(407) 927-1698
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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