SearchFlorida363LA2200X

Lisa Dominach, ARNP

NPI 1811232515 · on the registry since 2012

Practice

Address
2335 Aaron St
Port Charlotte, FL 33952
Phone
(855) 979-5700
Fax
(855) 979-5701
Organisation at this address
Skilled Nursing Care Medical Group Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
363L00000X
Licence states on file
NJ, FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-03-18

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