Individual
LILL E. CHAMORRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
590 NW PEACOCK BLVD STE 10, PORT SAINT LUCIE, FL 34986-2213
(954) 497-3856
Mailing address
307 SE YARDLEY TER, PORT SAINT LUCIE, FL 34983-2140
(315) 506-0386
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME128984
FL
Other
Enumeration date
09/06/2011
Last updated
06/14/2024
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