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1487396966
LAURA VIKSNINS
LAKE CITY, FL
NPI
1487396966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL 11018989)
Enumeration Date
2022-04-13
Last Update Date
2022-04-13
Business Address
LAURA VIKSNINS CPNP-PC
1859 SW NEWLAND WAY
LAKE CITY, FL 32025-6966
Phone number: 386-758-0003
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Mailing Address
LAURA VIKSNINS CPNP-PC
3 WOODCOCK RD UNIT 5114
SAVANNAH, GA 31404-1097
Phone number: 651-238-1424
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