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1043551328
LISA MARIE LAUDERDALE
SAFETY HARBOR, FL
NPI
1043551328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL ARNP1726292)
Enumeration Date
2013-03-11
Last Update Date
2013-03-11
Business Address
-- LISA MARIE LAUDERDALE ARNP
1840 MEASE DR SUITE 402
SAFETY HARBOR, FL 34695-6602
Phone number: 727-330-7652
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Mailing Address
-- LISA MARIE LAUDERDALE ARNP
2109 GULL LN
SAFETY HARBOR, FL 34695-4919
Phone number: 727-726-3223
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