LISA L WALL
Physician Assistant at Southhall Ln, Maitland, FL

License number
Florida 9103182
Issued Date
Jan 14, 2005
Effective Date
Nov 26, 2014
Expiration Date
Jan 31, 2018
Category
Health Care
Type
Physician Assistant
Address
Address 2
151 Southhall Ln, Maitland, FL 32751
1071 Port Malabar Blvd NE, Melbourne, FL 32905
Phone
(609) 377-1187
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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