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Lakeisha Lind Guilliam
Adult Health Nurse Practitioner in Mount Dora, Florida
NPI 1336918358

Lakeisha Lind Guilliam is an Adult Health Nurse Practitioner based in Mount Dora, FL and is specialized in Adult Health. Lakeisha Lind Guilliam practices in Mount Dora, FL. The NPI Number for Lakeisha Lind Guilliam is 1336918358 and holds a License No. 11029064 (Florida).

The current practice location address for Lakeisha Lind Guilliam is 3619 Lake Center Dr, Mount Dora, FL and can be reached out via phone at 352-383-8222.

Location: 3619 Lake Center Dr, Mount Dora, FL, 32757-2364
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336918358
Provider Name
Lakeisha Lind Guilliam
Credential
Provider Entity Type
Individual
Gender
Female
Address
3619 Lake Center Dr, Mount Dora, FL, 32757-2364
Phone Number
352-383-8222
Fax Number
Provider Enumeration Date
01/02/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3619 Lake Center Dr
City
Mount Dora
State
Florida
Zip
32757-2364
Phone Number
352-383-8222
Fax Number
person
Provider Business Mailing Address Details
Address
3619 Lake Center Dr
City
Mount Dora
State
Florida
Zip
32757-2364
Phone Number
352-383-8222
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
11029064 (Florida)
Definition
Definition to come...
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