Individual
MRS. LISA COLLINS LANCASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
250 N WICKHAM RD, MELBOURNE, FL 32935-8625
(321) 752-1200
Mailing address
2283 MERLIN DR, MELBOURNE, FL 32904-6158
(321) 615-0044
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN9256457
FL
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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