LYS MAIKE ICE

SEFFNER, FL
NPI1548976830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11012671)
Enumeration Date2023-01-30
Last Update Date2023-01-30
Business Address
LYS MAIKE ICE APRN
853 SUNRIDGE POINT DR
SEFFNER, FL 33584-5915
Phone number: 740-538-1100
Mailing Address
LYS MAIKE ICE APRN
853 SUNRIDGE POINT DR
SEFFNER, FL 33584-5915
Phone number:
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