Individual
MS. LISA KELLI GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6450 SW ARCHER RD, 210, GAINESVILLE, FL 32608-6133
(352) 378-7517
Mailing address
6450 SW ARCHER RD, 210, GAINESVILLE, FL 32608-6133
(352) 378-7517
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA18140
FL
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
About Stedi
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