Individual
LARISSA LEMBERT-TEZANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2201 45TH ST, WEST PALM BEACH, FL 33407-2047
(561) 842-6141
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME103678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0237621
—
NJ
Enumeration date
07/21/2008
Last updated
08/24/2010
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