Dr MARY E POWELL NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 1987.
LAKE WALES CLINIC CORP
410 S 11TH ST
LAKE WALES
FL
338534203
Tel: 8632327343
| Npi | 1972668754 |
| Pac Id | 2860488939 |
| Professional Enrollment Id | I20040423000185 |
| Last Name | POWELL |
| First Name | MARY |
| Middle Name | E |
| Suffix | |
| Gender | F |
| Credential | NP |
| Medical School Name | OTHER |
| Graduation Year | 1987 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | LAKE WALES CLINIC CORP |
| Group Practice Pac Id | 1153304639 |
| Number Of Group Practice Members | 13 |
| Line 1 Street Address | 410 S 11TH ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LAKE WALES |
| State | FL |
| Zip Code | 338534203 |
| Phone Number | 8632327343 |
| Hospital Affiliation Ccn 1 | 100099 |
| Hospital Affiliation Lbn 1 | LAKE WALES MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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