Most Relevant Information
Provider Data
| NPI Number: | 1003457888 |
| Provider Name: | LYNSEY MATERNI |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 11004429 |
Most Important Dates
| Enumeration Date: | 10/03/2019 |
| Last Updated: | 10/07/2019 |
Provider Practice Location
1917 GLEN MIST CV
LONGWOOD
FL
327504814
Practice Location Phone/Fax
| Phone: | 4074437609 |
| Fax: |
Provider Mailing Location
1917 GLEN MIST CV
LONGWOOD
FL
327504814
Provider Mailing Phone/Fax
| Phone: | 4074437609 |
| Fax: |