Organization
LS RADIANTLIFE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIN MARGARET CHU JOY DAVILA MD (PRESIDENT)
(939) 216-3292
Entity
Organization
Contact information
Practice address
URB VEVE CALZADA, CALLE 3A O28, FAJARDO, PR 00738
(939) 216-3292
Mailing address
PO BOX 1503, FAJARDO, PUERTO RICO 00738
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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