Individual
MS. LOURDES CORZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
1340 SW 8TH ST, MIAMI, FL 33135-3904
(305) 858-5745
(305) 858-1955
Mailing address
3190 SW 4TH ST, MIAMI, FL 33135-2704
(305) 643-5682
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
989
FL
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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