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Individual
DR. LIETA DIAZ PADRON
Active
Individual
DR. LIETA DIAZ PADRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00623900
NJ
152W00000X
Optometrist
663
PR
152W00000X
Optometrist
OEG002184
PA
152W00000X
Optometrist
Primary
OPC4630
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101160100
—
FL
Enumeration date
08/18/2009
Last updated
11/14/2018
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