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Lanisha Holloway
NPI 1497039143 · on the registry since 2011 · sole proprietor
Practice
- Address
- 5022 Perrine Dr
Jacksonville, FL 32210 - Phone
- (904) 772-0651
- Fax
- (904) 438-5726
Registry record
- Primary taxonomy
- 310400000X
310400000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida