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Individual

LORENA E POSLIGUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
21298 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6705
(941) 627-6128
(941) 764-7071
Mailing address
PO BOX 741087, ATLANTA, GA 30384-1087
(954) 777-0018
(866) 262-5507

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
M7530
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M7530
MD LICENSE
TX
01
ME120312
MD LICENSE
FL
Enumeration date
09/11/2007
Last updated
11/29/2017
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