Individual
DAVIS LAZARO CHEUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 324-4455
Mailing address
18805 NW 83RD CT, HIALEAH, FL 33015-5343
(305) 829-0945
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5147474
FL
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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