Individual
MS. LAURIE A DEWITT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
216 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086-5135
(904) 824-6108
(904) 823-9613
Mailing address
216 SOUTHPARK CIR E, ST AUGUSTINE, FL 32086-5135
(904) 824-6108
(904) 823-9613
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3288522
FL
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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