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Individual

LILLIAN M NEGRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1874 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5545
(772) 337-7676
(772) 337-9034
Mailing address
1874 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5545
(772) 337-7676
(772) 337-9034

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1920552
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
304342800
FL
01
G1148
BCBS
Enumeration date
06/02/2006
Last updated
06/07/2011
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