Organization · Type 2 NPI

L L Nurse Practitioner Consutling LLC LL Aesthethics LLC

Psychiatric/Mental Health Nurse Practitioner · Lake City, FL

NPI number 1255979761 Active

Practice location

165 SW Vision Gln
Lake City, FL 32025-1111

Fax (877) 991-8707

Mailing address

18422 Dakota Rd
Odessa, FL 33556-5618

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1255979761

L L Nurse Practitioner Consutling LLC LL Aesthethics LLC's National Provider Identifier is 1255979761, issued on Dec 16, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lake City, FL. The record was last updated on Jan 3, 2020.