LIYA TOM

LAKELAND, FL
NPI1679102362
Former NameLIYA TOM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: FL  ME163614)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-04
Last Update Date2023-10-30
Business Address
LIYA TOM MD
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4543
Phone number: 863-816-5884
Mailing Address
LIYA TOM MD
4315 HIGHLAND PARK BLVD STE A
LAKELAND, FL 33813-1639
Phone number: 863-816-5884