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Individual

CHANTAL M ALONSO-LEJ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1851 OAK LN, ORLANDO, FL 32803-1533
(321) 230-3127
(407) 381-1142
Mailing address
1851 OAK LN, ORLANDO, FL 32803-1533
(321) 230-3127

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
47155
FL
208000000X
Pediatrics Physician
Primary
ME47155
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046853300
FL
Enumeration date
08/17/2005
Last updated
06/21/2022
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