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Organization
LIONEL J GATIEN DO PA
Active
Organization
LIONEL J GATIEN DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIONEL J GATIEN D.O. (PRESIDENT)
(904) 269-1366
Entity
Organization
Contact information
Practice address
1689 EAGLE HARBOR PKWY E, SUITE A, ORANGE PARK, FL 32003-4817
(904) 269-1366
(904) 264-9750
Mailing address
1689 EAGLE HARBOR PKWY E, SUITE A, ORANGE PARK, FL 32003-4817
(904) 269-1366
(904) 264-9750
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255795900
—
FL
Enumeration date
12/06/2005
Last updated
02/21/2012
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