Individual provider · Type 1 NPI

Lisa Marie Peck, LPN

Licensed Practical Nurse · Daytona Beach, FL

NPI number 1457480071 Active

Practice location

1220 Willis Ave
Daytona Beach, FL 32114-2810

Call (386) 236-3200 Map

Mailing address

2710 Royal Palm Dr
Edgewater, FL 32141-5319

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN5165947 (FL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1457480071

Lisa Marie Peck, LPN's National Provider Identifier is 1457480071, issued on Mar 2, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Jul 8, 2007.