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Individual

MRS. LOU E. HICKS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
BAY PINES VETERANS HEALTH CARE SYSTEM, 1000 BAYPINES BLVD, BAY PINES, FL 33744-5005
(727) 398-5664
(727) 398-9370
Mailing address
5000 57TH ST N, KENNETH CITY, FL 33709-3627
(727) 398-6661
(727) 398-9370

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
956562
FL

Other

Enumeration date
05/01/2006
Last updated
07/08/2007
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