Individual
LISA LYNN ROLLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 NE 818TH ST, OLD TOWN, FL 32680-2567
(352) 514-9857
Mailing address
34 NE 818TH ST, OLD TOWN, FL 32680-2567
(352) 514-9857
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
1821
FL
374U00000X
Home Health Aide
Primary
684059179
FL
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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