Individual
LYSMAR CARRION DINGUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4729 US HIGHWAY 98 S STE 201, LAKELAND, FL 33812-4336
(863) 646-9663
(863) 646-9664
Mailing address
6675 WESTWOOD BLVD STE 475, ORLANDO, FL 32821-6027
(407) 845-0384
(888) 972-1752
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
17887
PR
208D00000X
General Practice Physician
Primary
ACN476
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008701300
—
FL
01
—
17887
TEM
PR
01
—
HE785Z
MEDICARE PTAN
FL
Enumeration date
12/02/2010
Last updated
05/30/2023
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