Lecanto Va

NPI #1285880781 in Homosassa, Florida

Provider Information

NPI Number
1285880781
Entity Type
Organization
Organization Name
Lecanto Va
Primary Specialty
Clinic/Center - VA
Enumeration Date
Aug 15, 2008
Last Updated
Aug 15, 2008

Practice Location

Address
5656 W JAN LN
State
Florida
ZIP Code
34446-1511
Phone
(352) 584-0896

Authorized Official

Name
ELLEN BAXLEY
Title
DIETITIAN
Phone
(352) 584-0896

Specialties & Taxonomy Codes

Specialty
Clinic/Center - VAVA

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