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Organization
LKR MEDICAL, LLC
Active
Organization
LKR MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESTER CARRODEGUAS (MANAGER)
(305) 582-5065
Entity
Organization
Contact information
Practice address
412 ALEDO AVE, CORAL GABLES, FL 33134-7144
(305) 582-5065
Mailing address
412 ALEDO AVE, CORAL GABLES, FL 33134-7144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME105604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
02/02/2012
Last updated
02/02/2012
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