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LISA MARRA FNP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1528581840

Individual Registrant:
 LISA  MARRA FNP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
450 S MAIN ST  LABELLE, FL 33935-4629 US
Tel: 863-675-2356  Fax: --

Contact information for business:
2839 E STATE ROAD 80  LABELLE, FL 33935-4786 US
Tel: 239-898-0622  Fax: --

Registration Information:
NPI: 1528581840
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
FLARNP9210862

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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