Individual
MS. LISA M PANNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
2718 N ORANGE AVE STE B, ORLANDO, FL 32804-7611
(407) 894-1465
Mailing address
1012 GOTWALT DR, OVIEDO, FL 32765-6966
(407) 256-3009
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
13068
TN
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
9166765
FL
Other
Enumeration date
02/07/2008
Last updated
03/13/2009
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