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Mrs. Lisa Diana Pugh, LPN
Licensed Practical Nurse in Fort Walton Beach, Florida
NPI 1588843627

Lisa Diana Pugh is a Licensed Practical Nurse based in Fort Walton Beach, FL. Lisa Diana Pugh practices in Fort Walton Beach, FL and has the professional credentials of LPN. The NPI Number for Lisa Diana Pugh is 1588843627 and holds a License No. PN5165413 (Florida).

The current practice location address for Lisa Diana Pugh is 110 Racetrack Rd Nw, Fort Walton Beach, FL and can be reached out via phone at 850-833-3614 and via fax at 850-833-3410.

Location: 110 Racetrack Rd Nw, Fort Walton Beach, FL, 32548-5066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588843627
Provider Name
Lisa Diana Pugh
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
110 Racetrack Rd Nw, Fort Walton Beach, FL, 32548-5066
Phone Number
850-833-3614
Fax Number
850-833-3410
Provider Enumeration Date
10/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
110 Racetrack Rd Nw
City
Fort Walton Beach
State
Florida
Zip
32547-1604
Phone Number
850-833-3614
Fax Number
850-833-3410
person
Provider Business Mailing Address Details
Address
110 Racetrack Rd Nw
City
Fort Walton Beach
State
Florida
Zip
32547-1604
Phone Number
850-833-3614
Fax Number
850-833-3410
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN5165413 (Florida)
Definition
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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