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)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