LISA COUSINS

ORMOND BEACH, FL
NPI1760259592
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  11028954)
Enumeration Date2023-12-12
Last Update Date2024-10-09
Business Address
LISA COUSINS APRN
308 RIVER BLUFF DR
ORMOND BEACH, FL 32174-3837
Phone number: 386-383-3048
Mailing Address
LISA COUSINS APRN
695 N CLYDE MORRIS BLVD # D
DAYTONA BEACH, FL 32114-2321
Phone number: 386-383-3048
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