Individual
MISS LISA R MAREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
4830 NW 78TH RD, GAINESVILLE, FL 32653-5110
(352) 262-4825
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9181710
FL
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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