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Individual

LYNETTE LANIER NASH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
329 CHELMSFORD CT, KISSIMMEE, FL 34758-2947
(407) 627-7639
Mailing address
329 CHELMSFORD CT, KISSIMMEE, FL 34758-2947
(407) 627-7639

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
239589
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
93-1947977
FL
Enumeration date
10/23/2023
Last updated
10/23/2023
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