Individual
DR. JUAN JOSE LUIS LERTORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 CENTER DRIVE MSC 1352, NIH CLINICAL CENTER, BUILDING 10, B1L403, BETHESDA, MD 20892-0001
(301) 496-9425
(301) 435-5275
Mailing address
10 CENTER DRIVE MSC 1352, BUILDING 10, B1L403, BETHESDA, MD 20892-0001
(301) 496-9425
(301) 435-5275
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05296R
LA
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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