Lauderdale, Lisa Marie

Lauderdale, Lisa Marie is an individual health care provider with primary practice located at 1840 Mease Dr Suite 402, Safety Harbor FL 34695-6602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lauderdale, Lisa Marie can be contacted via phone (727) 330-7652.

Contact Information

Primary practice address
1840 Mease Dr Suite 402 Safety Harbor FL 34695-6602
Phone: (727) 330-7652
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP1726292 Florida

Profile Details

NPI number 1043551328
LBN Legal business name Lauderdale, Lisa Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2013
Last updated Mar 11th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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