Individual
LISA E ELIASSAINT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6125 SPRING LAKE TER, FORT PIERCE, FL 34951-3106
(772) 361-5052
Mailing address
6125 SPRING LAKE TER, FORT PIERCE, FL 34951-3106
(772) 207-0862
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
9386933
FL
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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