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1194244228
LISA A STANFORD
BOYNTON BEACH, FL
NPI
1194244228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9179520)
Enumeration Date
2017-09-09
Last Update Date
2019-07-24
Business Address
Mrs. LISA A STANFORD FNP-BC
10301 HAGEN RANCH RD STE D720
BOYNTON BEACH, FL 33437-3777
Phone number: 561-264-0802
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Mailing Address
Mrs. LISA A STANFORD FNP-BC
1019 LARCH WAY
WELLINGTON, FL 33414-5101
Phone number: 561-319-5040
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