RENI GRACE PULLUKAT

LAKELAND, FL
NPI1275994683
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP 9203330)
Enumeration Date2016-03-11
Last Update Date2022-07-20
Business Address
Mrs. RENI GRACE PULLUKAT
2815 LAKELAND HILLS BLVD
LAKELAND, FL 33805-2224
Phone number: 863-284-5000
Mailing Address
Mrs. RENI GRACE PULLUKAT
1324 LAKELAND HILLS BLVD ATTN: MANAGED CARE DEPT
LAKELAND, FL 33805-4543
Phone number: