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LISA MARRA FNP-C
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1528581840
Individual Registrant: LISA MARRA FNP-C
Gender: F
Not Sole Proprietor
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: --
Tel: 863-675-2356 Fax: --
Contact information for business:
2839 E STATE ROAD 80 LABELLE, FL 33935-4786 US
Tel: 239-898-0622 Fax: --
Tel: 239-898-0622 Fax: --
Registration Information:
NPI: 1528581840
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | FL | ARNP9210862 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
