Individual
LISA FREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
141 MACK BAYOU LOOP STE 202, SANTA ROSA BEACH, FL 32459-7194
(850) 622-0996
(850) 622-1185
Mailing address
141 MACK BAYOU LOOP STE 202, SANTA ROSA BEACH, FL 32459-7194
(850) 622-0996
(850) 622-1185
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS5728
FL
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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