Individual
MR. DANIEL LAZARO DUQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 603-6565
Mailing address
13201 MCINTOSH RD, THONOTOSASSA, FL 33592-2523
(813) 967-2921
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11007542
FL
363LF0000X
Family Nurse Practitioner
11007542
FL
Other
Enumeration date
06/09/2020
Last updated
06/03/2025
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