Individual
LILLIAN GRACE DAWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13000 BRUCE B DOWNS BLVD # 112, TAMPA, FL 33612-4745
(813) 972-2000
(813) 910-3029
Mailing address
13000 BRUCE B DOWNS BLVD # 112, TAMPA, FL 33612-4745
(813) 972-2000
(813) 910-3029
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301077330
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4284019
—
MI
Enumeration date
09/28/2006
Last updated
11/14/2007
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