Individual provider · NPI-1
Lisandra Perez Garcia
Registered Nurse, General Practice · Port St Lucie, FL
NPI number1023729845
StatusActive
Last updated in NPPESDec 13, 2022
Details
- NPI
- 1023729845
- Entity type
- Individual (NPI-1)
- Name
- Lisandra Perez Garcia
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 13, 2022
- Certification date
- Dec 13, 2022
- Last updated
- Dec 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | RN-9537161 | FL | Yes |
Practice location
459 Se Galleon LnPort St Lucie, FL 34983-2210
Phone 786-641-4882
Mailing address
459 Se Galleon LnPort St Lucie, FL 34983-2210
Phone 786-641-4882
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