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1861950008
LAKELAND ALLERGY ASTHMA & IMMUNOLOGY
LAKELAND, FL
NPI
1861950008
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Entity Type
Organization
Authorized Contact
KATHRYN D CONVERS
Sole Member
305-318-6096
Organization Subpart ?
No
Primary Taxonomy
207K00000X Allergy & Immunology
Enumeration Date
2019-03-06
Last Update Date
2019-04-04
Business Address
LAKELAND ALLERGY ASTHMA & IMMUNOLOGY
4325 HIGHLAND PARK BLVD
LAKELAND, FL 33813-1671
Phone number: 305-318-6096
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Mailing Address
LAKELAND ALLERGY ASTHMA & IMMUNOLOGY
4325 HIGHLAND PARK BLVD
LAKELAND, FL 33813-1671
Phone number: 863-213-1010
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