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
417 SAINT JOHNS AVE, PALATKA, FL 32177-4724
(352) 719-0700
(352) 719-0719
Mailing address
417 SAINT JOHNS AVE, PALATKA, FL 32177-4724
(352) 719-0700
(342) 719-0719
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
08/07/2026
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