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1447747324
LANISHA DENISE FULLER
HOLLYWOOD, FL
NPI
1447747324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: FL ME159488)
Enumeration Date
2018-04-17
Last Update Date
2023-08-14
Business Address
LANISHA DENISE FULLER MD
3501 JOHNSON ST
HOLLYWOOD, FL 33021-5421
Phone number: 954-987-2000
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Mailing Address
LANISHA DENISE FULLER MD
3501 JOHNSON ST
HOLLYWOOD, FL 33021-5421
Phone number: 954-987-2000
Copy
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