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Individual

MRS. LISA ANJANETTE WASHINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
605 MEDICAL CARE DR, BRANDON, FL 33511-5942
(813) 681-6474
(813) 654-8473
Mailing address
20126 STILL WIND DR, TAMPA, FL 33647-3548
(813) 383-3073
(813) 745-5441

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3354502
FL

Other

Enumeration date
11/02/2010
Last updated
11/02/2010
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