LISA DIANA PUGH

FORT WALTON BEACH, FL
NPI1588843627
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN5165413)
Enumeration Date2007-10-25
Last Update Date2007-10-25
Business Address
Mrs. LISA DIANA PUGH LPN
110 RACETRACK RD NW
FORT WALTON BEACH, FL 32547-1604
Phone number: 850-833-3614
Mailing Address
Mrs. LISA DIANA PUGH LPN
221 HOSPITAL DR NE
FORT WALTON BEACH, FL 32548-5066
Phone number: 850-833-9240