Individual
LESLIE NICOLE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
619 S MARION AVE, LAKE CITY, FL 32025-5808
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT12718
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RT12718
REGISTERED RESPIRATORY THERAPIST
FL
Enumeration date
03/03/2022
Last updated
03/03/2022
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