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Individual

DR. MICHAEL LAMENSDORF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1428 S TAMIAMI TRL, SARASOTA, FL 34239-2901
(941) 957-4987
(941) 955-7905
Mailing address
1428 S TAMIAMI TRL, SARASOTA, FL 34239-2901
(941) 957-4987
(941) 955-7905

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0042749
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
069390100
FL
01
58420
MEDICARE PTAN
Enumeration date
10/20/2005
Last updated
05/17/2011
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