Individual
LYANNE COLON SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HOSPITAL EPISCOPAL SAN LUCAS DEPT OBGYN, 917 AVENIDA TITO CASTRO, PONCE, PR 00733
(787) 844-2080
Mailing address
2041 GEORGIA AVE NW STE 3C03, WASHINGTON, DC 20060-0001
(202) 865-6679
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD210002371
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/26/2018
Last updated
09/29/2022
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