Individual
MR. LANCE DEREK GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3050 CHAMPION RING RD, FORT MYERS, FL 33905-5599
(239) 313-2900
Mailing address
3050 CHAMPION RING RD, FORT MYERS, FL 33905-5599
(239) 313-2900
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
9612504
FL
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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