Search › Florida › 363LA2200X
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