Individual
DR. LUCY WARD ERTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2445 LANE PARK RD, TAVARES, FL 32778-9648
(352) 742-6813
(352) 343-0325
Mailing address
2445 LANE PARK RD, TAVARES, FL 32778-9648
(352) 742-6813
(352) 343-0325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME44448
FL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
ME44448
FL
Other
Enumeration date
01/23/2007
Last updated
02/09/2017
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