Individual
LACIE BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4129 N ARMENIA AVE, TAMPA, FL 33607-6436
(813) 879-3699
(813) 873-8469
Mailing address
4129 N ARMENIA AVE, TAMPA, FL 33607-6436
(813) 879-3699
(813) 873-8469
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9278784
FL
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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