Individual
DR. LENA A GEORGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2605 W SWANN AVE, TAMPA, FL 33609-4039
(813) 876-7073
(813) 879-3737
Mailing address
2605 W SWANN AVE, TAMPA, FL 33609-4039
(813) 876-7073
(813) 879-3737
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3086
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
PO3086
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340436600
—
FL
01
—
65828
BLUE CROSS BLUE SHIELD
FL
01
—
P00085644
RAILROAD MEDICARE
—
Enumeration date
07/19/2006
Last updated
01/05/2017
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