Individual
ISABELLE LORANE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
Mailing address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-1250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9119390
FL
Other
Enumeration date
01/09/2023
Last updated
06/03/2025
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