Individual
LISA M CLONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
819 E 1ST ST, SANFORD, FL 32771-1467
(407) 322-7841
(407) 322-1778
Mailing address
819 E 1ST ST, SANFORD, FL 32771-1467
(407) 322-7841
(407) 322-1778
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 2740032
FL
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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