Individual
LILLYBETH MUNIZ LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 MAGNOLIA CIR, TYNDALL AFB, FL 32403-5604
(850) 283-7603
Mailing address
340 MAGNOLIA CIR, TYNDALL AFB, FL 32403-5604
(850) 283-7370
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/01/2014
Last updated
04/10/2018
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