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1104640028
LAURA LUI
PONTE VEDRA BEACH, FL
NPI
1104640028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11035845)
Enumeration Date
2024-11-08
Last Update Date
2024-11-08
Business Address
LAURA LUI
152 FRONT ST
PONTE VEDRA BEACH, FL 32082-3058
Phone number: 904-285-3634
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Mailing Address
LAURA LUI
440 BURBANK AVE APT 6403
PONTE VEDRA, FL 32081-1234
Phone number: 917-922-6737
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