Individual
KELANNE S LUCIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
PO BOX 321, LOXAHATCHEE, FL 33470-0321
(805) 258-6054
Mailing address
PO BOX 321, LOXAHATCHEE, FL 33470-0321
(805) 258-6054
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11038265
FL
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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