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Individual

MRS. LISA G HUSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
120 S WOODLAND BLVD, SUITE 202, DELAND, FL 32720-5445
(386) 490-4412
Mailing address
120 S WOODLAND BLVD, SUITE 204, DELAND, FL 32720-5445
(386) 490-4412

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1755582
FL
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN1755582
FL
163WC0400X
Case Management Registered Nurse
RN1755582
FL

Other

Enumeration date
06/11/2012
Last updated
06/27/2012
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