Lisa Doreen Colon

NPI 1760522262 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1760522262
Gender Female
Enumeration Date 02/07/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
311 N ORANGE ST
NEW SMYRNA BEACH FL, 32168-6733, US
Phone (386) 416-1040
Fax (386) 416-1037
Business Location
1220 WILLIS AVE
DAYTONA BEACH FL, 32114-2810, US
Phone (386) 416-1023
Fax (386) 416-1037
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Mrs. Lisa Doreen Colon NPI is 1760522262, taxonomy code is 251S00000X Lisa Doreen Colon physically located at 311 N Orange St, New Smyrna Beach FL, 32168-6733. NPI Number Lisa Doreen Colon has the Individual type.

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1760522262 NPI number is provided on an as is basis without warranty of any kind. 1760522262 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Doreen Colon are for informational purposes only.