LISA NELSON

PORT ST LUCIE, FL
NPI1538531009
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9107963)
Enumeration Date2015-10-23
Last Update Date2016-09-05
Business Address
-- LISA NELSON PA-C
540 NW UNIVERSITY BLVD #107
PORT ST LUCIE, FL 34986-2279
Phone number: 321-236-2323
Mailing Address
-- LISA NELSON PA-C
540 NW UNIVERSITY BLVD #107
PORT ST LUCIE, FL 34986-2279
Phone number: 321-236-2323
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