Peck, Lisa Marie
Peck, Lisa Marie is an individual health care provider with primary practice located at 1220 Willis Ave , Daytona Beach FL 32114-2810. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Peck, Lisa Marie can be contacted via phone (386) 236-3200.Contact Information
Primary practice address
1220 Willis Ave
Daytona Beach FL 32114-2810
Phone: (386) 236-3200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | LPN5165947 | Florida |
Profile Details
| NPI number | 1457480071 |
|---|---|
| LBN Legal business name | Peck, Lisa Marie |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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