Individual
MS. LISA D COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
8501 SW 25TH CT, MIRAMAR, FL 33025-2928
(786) 269-4386
Mailing address
8501 SW 25TH CT, MIRAMAR, FL 33025-2928
(786) 269-4386
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
3265292
FL
Other
Enumeration date
12/02/2015
Last updated
10/14/2020
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