Individual
LIANA MEGAN RABORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6105 SAVOY CIR, LUTZ, FL 33558-2814
(727) 348-3581
Mailing address
6105 SAVOY CIR, LUTZ, FL 33558-2814
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11027496
FL
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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