Individual
LISA MARIE LA DUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EARLY INTERVENTION
Contact information
Practice address
7652 HARRINGTON LANE, BRADENTON, FL 34202
(941) 355-6054
Mailing address
7652 HARRINGTON LN, BRADENTON, FL 34202-4085
(727) 424-5418
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/21/2008
Last updated
06/09/2018
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