Individual
LAKOSCIA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
521 W STATE ROAD 434 STE 101, PEDIATRIC&ADOLESCENT MED OF SEMINOLE, IN ASSOC WITH NEM, LONGWOOD, FL 32750-4952
(407) 830-5437
(407) 830-4907
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9193529
FL
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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