Individual
LISA LOVELLA RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
154 MERCER ST, PORT CHARLOTTE, FL 33954-1641
(989) 944-1341
Mailing address
154 MERCER ST, PORT CHARLOTTE, FL 33954-1641
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5177162
FL
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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