Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | 104686380 | FL |
NPI | 1043890593 |
---|---|
Provider Name | Lauryn Danielle Dees |
First Address | Riverview, FL 33578-6218 |
Second Address | Lakeland, FL 33805-4543 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2021 |
Last Update Date | 16/07/2021 |