| Ms Amy R Stroup, LPN, LMT, FACIALIST | |
| 
					5460 N State Road 7 Ste 217, Fort Lauderdale, FL 33319-2969  | |
| (954) 895-2697 | |
| Not Available | 
| Full Name | Ms Amy R Stroup | 
|---|---|
| Gender | Female | 
| Speciality | Technician, Other | 
| Location | 5460 N State Road 7 Ste 217, Fort Lauderdale, Florida | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508131178 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN0547061 (Florida) | Secondary | 
| 247200000X | Technician, Other | MA29603 (Florida) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Amy R Stroup, LPN, LMT, FACIALIST 9124 Nw 35th Pl, Sunrise, FL 33351-6400 Ph: (954) 895-2697  | Ms Amy R Stroup, LPN, LMT, FACIALIST 5460 N State Road 7 Ste 217, Fort Lauderdale, FL 33319-2969 Ph: (954) 895-2697  |