Organization
GRACE WELLNESS & AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAMARIE LORD FNP (OWNER)
(352) 421-5736
Entity
Organization
Contact information
Practice address
600 SW 10TH ST STE 101, OCALA, FL 34471-0200
(352) 421-5736
Mailing address
600 SW 10TH ST STE 101, OCALA, FL 34471-0200
(352) 421-5736
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
09/07/2022
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