Individual
JOSEP GENEBRIERA DE LAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1551 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4124
(904) 354-4488
Mailing address
1551 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4124
(904) 354-4488
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
51915
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
09/04/2008
Last updated
08/18/2011
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