Individual
LISA EDMONDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 NW 29TH MNR, POMPANO BEACH, FL 33069-1031
(954) 309-4927
Mailing address
5095 GARFIELD RD, DELRAY BEACH, FL 33484-4201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1998710
FL
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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