Individual
MRS. DENISE MALIA LOCK COMPANION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 CELEBRATION PL, KISSIMMEE, FL 34747-4970
(407) 303-2528
(407) 303-2760
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4100
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11000871
FL
363LN0000X
Neonatal Nurse Practitioner
APRN-1263
HI
Other
Enumeration date
03/22/2010
Last updated
03/23/2023
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