LILLIAN INGRAM NPI 1578146171

NPI Information

LILLIAN INGRAM is a psychiatric/mental health nurse practitioner in Tampa, FL. LILLIAN INGRAM NPI is 1578146171. The provider is registered as an organization entity type.

The provider's business location address is:

1211 TECH BLVD STE 105
TAMPA, FL
ZIP 33619-846
Phone: (813) 999-1516
Fax: (813) 336-8384

The provider's authorized official is Lillian E Ingram .
The authorized official title is Owner/operator and has the following contact phone number (608) 217-6108.

The enumeration date for this NPI number is 4/30/2021 and was last updated on 2/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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