Individual
LISA SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1026 23RD ST, WEST PALM BEACH, FL 33407-5745
(561) 503-6433
Mailing address
1026 23RD ST, WEST PALM BEACH, FL 33407-5745
(561) 503-6433
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/05/2014
Last updated
03/06/2014
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