Individual
MRS. LISA VALLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3936 S SEMORAN BLVD, #276, ORLANDO, FL 32822-4015
(407) 601-3654
(407) 802-2759
Mailing address
3936 S SEMORAN BLVD, #276, ORLANDO, FL 32822-4015
(407) 601-3654
(407) 802-2759
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5148922
FL
172A00000X
Driver
D251533717990
FL
372500000X
Chore Provider
231354
FL
372600000X
Adult Companion
231354
FL
3747A0650X
Attendant Care Provider
231354
FL
376J00000X
Homemaker
231354
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001720700
—
FL
01
—
PN5148922
DOH
FL
Enumeration date
03/16/2009
Last updated
07/27/2011
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