Individual
LARA L DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(877) 538-4594
(866) 665-2702
Mailing address
PO BOX 24912, MIAMI, FL 33102-4912
(877) 538-4594
(866) 665-2702
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9318451
FL
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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