Most Relevant Information
Provider Data
| NPI Number: | 1003514225 |
| Provider Name: | MARIA LOURDES LAQUIAN APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN11024436 |
Most Important Dates
| Enumeration Date: | 02/16/2023 |
| Last Updated: | 04/15/2024 |
Provider Practice Location
2343 AARON ST
PORT CHARLOTTE
FL
339525305
Practice Location Phone/Fax
| Phone: | 8559795700 |
| Fax: |
Provider Mailing Location
2675 WINKLER AVE FL 2
FORT MYERS
FL
339019342
Provider Mailing Phone/Fax
| Phone: | 8778563774 |
| Fax: |