MRS. LISA DIANA PUGH LPN NPI 1588843627

NPI Information

MRS. Lisa Diana Pugh, LPN is a licensed practical nurse in Fort Walton Beach, FL. The provider is an individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MRS. Lisa Diana Pugh, LPN NPI is 1588843627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

110 RACETRACK RD NW
FORT WALTON BEACH, FL
ZIP 32547-604
Phone: (850) 833-3614
Fax: (850) 833-3410

The enumeration date for this NPI number is 10/25/2007 and was last updated on 10/25/2007.

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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