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Individual

LISA SIMONE WEBSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2540 CENTREVILLE RD, CENTREVILLE, MD 21617-2681
(410) 758-4432
Mailing address
4900 SW 46TH CT APT 2212, OCALA, FL 34474-6288
(253) 282-5465

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
153969
FL
363LF0000X
Family Nurse Practitioner
Primary
AC005576
MD

Other

Enumeration date
05/12/2023
Last updated
02/13/2025
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