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Organization
LG DIAGNOSTIC, INC
Active
Organization
LG DIAGNOSTIC, INC
Active
Parent organization
LG DIAGNOSTIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LG DIAGNOSTIC
Authorized official
ADRIANA LOPEZ (TREASURE)
(305) 267-4414
Entity
Organization
Contact information
Practice address
815 NW 57TH AVE STE 125, MIAMI, FL 33126-2068
(305) 267-4414
Mailing address
815 NW 57TH AVE STE 125, MIAMI, FL 33126-2068
(305) 267-4414
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT15233
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
OT4229
FL
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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