person
Derriyan Lanae Price, DO
Military Health Care Provider in Jacksonville, Florida
NPI 1356080618

Derriyan Lanae Price is a Military Health Care Provider based in Jacksonville, FL. Derriyan Lanae Price practices in Jacksonville, FL and has the professional credentials of DO. The NPI Number for Derriyan Lanae Price is 1356080618 and holds a License No. (Florida).

The current practice location address for Derriyan Lanae Price is 2080 Child St Dept 5000, Jacksonville, FL and can be reached out via phone at 904-542-7300.

Location: 2080 Child St Dept 5000, Jacksonville, FL, 32214-5001
person
Provider Profile Details
NPI Number
1356080618
Provider Name
Derriyan Lanae Price
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2080 Child St Dept 5000, Jacksonville, FL, 32214-5001
Phone Number
904-542-7300
Fax Number
Provider Enumeration Date
06/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2080 Child St Dept 5000
City
State
Zip
32214-5000
Phone Number
904-542-7300
Fax Number
person
Provider Business Mailing Address Details
Address
2080 Child St Dept 5000
City
State
Zip
32214-5000
Phone Number
904-542-7300
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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