Individual
MS. LISA MICHELLE BRISTOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
278 DR LASALLE LAFALL DRIVE, QUINCY, FL 32351
(850) 539-2888
(850) 539-2766
Mailing address
PO BOX 1000, QUINCY, FL 32353-1000
(850) 539-2888
(850) 539-2766
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN3309162
FL
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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