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Individual

DR. LONNIE MARK DRAPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-0756
(850) 431-0779
Mailing address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-0756
(850) 431-0779

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME59117
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051720800
FL
Enumeration date
02/16/2006
Last updated
09/03/2013
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