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Organization

FLORIDA LUNG

Active
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Organization

FLORIDA LUNG

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISHNA PRIYA RAJU MD (OWNER)
(239) 368-6646
Entity
Organization

Contact information

Practice address
1530 LEE BLVD STE 1500, LEHIGH ACRES, FL 33936-4897
(239) 368-6646
Mailing address
1530 LEE BLVD STE 1500, LEHIGH ACRES, FL 33936-4897
(239) 368-6646

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME90923
FL

Other

Enumeration date
07/13/2006
Last updated
11/28/2007
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