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Individual

DR. CHRISTOPHER LINTAO VALENCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
503 MCMILLAN RD, WEST MONROE, LA 71291-5327
(318) 329-4744
(318) 329-4719
Mailing address
13940 N US HIGHWAY 441, SUITE 302, LADY LAKE, FL 32159-8908
(352) 391-9057
(352) 391-5992

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME66948
FL
2084N0400X
Neurology Physician
Primary
ME66948
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
130023931
RAILROAD MEDICARE
FL
01
25587
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
02/22/2007
Last updated
08/11/2020
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