Female

Laura Lica

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Laura Lica

NPI Number

1104692664

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/27/2023

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

14051 BEACH BLVD APT 4212
3900 UNIVERSITY BLVD S

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32250-1837
32216-4331

Country

US
US

Telephone Number

(734) 649-3280
(904) 222-6656

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/27/2024

Provider Address

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