Individual
LYSETTE IGLESIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
7761 NW 146TH ST, MIAMI LAKES, FL 33016-1559
(305) 381-5301
(305) 381-5541
Mailing address
8350 COMMERCE WAY APT 325, MIAMI LAKES, FL 33016-1636
(786) 502-7112
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
245766
NY
208000000X
Pediatrics Physician
ME99374
FL
2080P0205X
Pediatric Endocrinology Physician
Primary
ME99374
FL
Other
Enumeration date
06/04/2009
Last updated
02/25/2015
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