Individual
LILLIAN CHRISTINE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1426 WILLOW BRANCH DR, ORLANDO, FL 32828-7457
(386) 216-9223
Mailing address
PO BOX 1095, ORLANDO, FL 32802-1095
(407) 450-6925
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11015887
FL
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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