Individual
DR. LOUISE LANE LUCERO GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1258 WEST BAY DRIVE, SUITE D, LARGO, FL 33770-2200
(727) 420-6374
(813) 355-0810
Mailing address
10460 ROOSEVELT BLVD N # 169, ST PETERSBURG, FL 33716-3821
(727) 420-6374
(813) 355-0810
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
M-2314
GU
207RI0200X
Infectious Disease Physician
ME116559
FL
208M00000X
Hospitalist Physician
Primary
M-2314
GU
Other
Enumeration date
06/26/2007
Last updated
07/12/2022
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