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Individual

MS. LISA CHERYL CROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
801 SW SECOND AVENUE, SHANDS AT AGH 3IMC, GAINESVILLE, FL 32601-6289
(352) 733-0230
Mailing address
PO BOX 1728, 118 WOODLAND LANE, HAWTHORNE, FL 32640-1728
(352) 262-2623

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9201352
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN 9201352
RN LICENSE
FL
Enumeration date
05/13/2008
Last updated
05/13/2008
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