Individual
LAURA VIKSNINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1859 SW NEWLAND WAY, LAKE CITY, FL 32025-6966
(386) 758-0003
Mailing address
3 WOODCOCK RD UNIT 5114, SAVANNAH, GA 31404-1097
(651) 238-1424
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11018989
FL
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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