Individual
CRISELLE LAMARCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
880 SW 145TH AVE STE 202, PEMBROKE PINES, FL 33027-6171
(866) 849-0692
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10021683
OR
163W00000X
Registered Nurse
117271
HI
163W00000X
Registered Nurse
850031
CA
163W00000X
Registered Nurse
Primary
9319053
FL
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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