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1326382193
LISA WHITELAM GREEN
TAMPA, FL
NPI
1326382193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL ARNP9180376)
Enumeration Date
2012-11-19
Last Update Date
2012-11-19
Business Address
-- LISA WHITELAM GREEN ARNP
12502 USF PINE DR
TAMPA, FL 33612-9411
Phone number: 813-975-7130
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Mailing Address
-- LISA WHITELAM GREEN ARNP
PO BOX 8500 LOCKBOX 7642
PHILADELPHIA, PA 19178-7642
Phone number: 813-281-8115
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