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Individual

MS. LISA ANN LACHES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3402 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6214
(813) 875-3950
(813) 876-0432
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN: CREDENTIAL DEPARTMENT, FORT MYERS, FL 33916-2216
(239) 274-8200
(239) 278-3350

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9221139
FL
364SX0200X
Oncology Clinical Nurse Specialist
Primary
APRN9221139
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008131100
FL
Enumeration date
05/20/2008
Last updated
04/17/2025
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