Individual
LISA ANN COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2290 N RONALD REAGAN BLVD STE 116, LONGWOOD, FL 32750-3534
(407) 215-0095
Mailing address
991 AVIS LN, DELTONA, FL 32738-6796
(570) 972-5651
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9510205
FL
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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