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Lisgrace D Boucugnani
Family Nurse Practitioner in Miami, Florida
NPI 1770354912

Lisgrace D Boucugnani is a Family Nurse Practitioner based in Miami, FL and is specialized in Family. Lisgrace D Boucugnani practices in Miami, FL. The NPI Number for Lisgrace D Boucugnani is 1770354912 and holds a License No. 11030577 (Florida).

The current practice location address for Lisgrace D Boucugnani is 12640 Sw 77Th St, Miami, FL and can be reached out via phone at 786-282-6953.

Location: 12640 Sw 77Th St, Miami, FL, 33183-3518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770354912
Provider Name
Lisgrace D Boucugnani
Credential
Provider Entity Type
Individual
Gender
Female
Address
12640 Sw 77Th St, Miami, FL, 33183-3518
Phone Number
786-282-6953
Fax Number
Provider Enumeration Date
01/15/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12640 Sw 77Th St
City
Miami
State
Florida
Zip
33183-3518
Phone Number
786-282-6953
Fax Number
person
Provider Business Mailing Address Details
Address
12640 Sw 77Th St
City
Miami
State
Florida
Zip
33183-3518
Phone Number
786-282-6953
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11030577 (Florida)
Definition
Definition to come...
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