Individual
LEA CAROLL TSCHORN DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
240 N WICKHAM RD STE 102, MELBOURNE, FL 32935-8663
(321) 752-5210
(321) 752-5388
Mailing address
240 N WICKHAM RD STE 102, MELBOURNE, FL 32935-8663
(321) 752-5210
(321) 752-5388
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9263874
FL
Other
Enumeration date
02/18/2009
Last updated
10/26/2011
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