Individual
LESA W. MARINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1014 E. NORTH BLVD, HWY441, LEESBURG, FL 34748
(352) 326-5254
(353) 326-5402
Mailing address
1014 E. NORTH BLVD, HWY441, LEESBURG, FL 34748
(352) 326-5254
(353) 326-5402
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
9271409
FL
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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