Individual
ELIZABETH RENE' MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRPS-A
Contact information
Practice address
561 NORFOLK CIR, LAKELAND, FL 33801-6041
(863) 608-1562
Mailing address
561 NORFOLK CIR, LAKELAND, FL 33801-6041
(863) 608-1562
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPS30101507.A
FL
Other
Enumeration date
09/09/2024
Last updated
09/10/2024
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