LISA ANN ANTONCZAK

BOYNTON BEACH, FL
NPI1801363411
Former NameLISA ANN THUMM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  APRN11000002)
Additional Taxonomies207Q00000X Family Medicine
(Licence: FL  1000002)
Enumeration Date2018-11-01
Last Update Date2023-05-09
Business Address
LISA ANN ANTONCZAK APRN
23 PEPPERWOOD CT
BOYNTON BEACH, FL 33426-9351
Phone number: 330-717-4013
Mailing Address
LISA ANN ANTONCZAK APRN
23 PEPPERWOOD CT
BOYNTON BEACH, FL 33426-9351
Phone number: 330-717-4013