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1053916163
LAZARA MEDINA
MIAMI, FL
NPI
1053916163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 11009978)
Enumeration Date
2020-12-04
Last Update Date
2024-11-12
Business Address
LAZARA MEDINA
11211 SW 152ND ST
MIAMI, FL 33157-1101
Phone number: 305-255-1355
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Mailing Address
LAZARA MEDINA
455 NW 114TH AVE APT 308
MIAMI, FL 33172-4171
Phone number: 786-461-6091
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