LISA PAULETTE PANISH

TAMPA, FL
NPI1073669172
Former NameLISA PAULETTE WILSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner Gerontology
(Licence: FL  APRN2975062)
Enumeration Date2007-01-25
Last Update Date2019-08-19
Business Address
LISA PAULETTE PANISH
9009 CORPORATE LAKE DR
TAMPA, FL 33634-2367
Phone number: 727-433-0157
Mailing Address
LISA PAULETTE PANISH
9009 CORPORATE LAKE DR
TAMPA, FL 33634-2367
Phone number: 727-433-0157
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