Individual
LAURA SHARMINI LOURDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7015 A C SKINNER PKWY BLDG 100, JACKSONVILLE, FL 32256-6932
(904) 516-3737
(904) 516-3737
Mailing address
7015 AC SKINNER PARKWAY SUITE 1, JACKSONVILLE, FL 32256-2316
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
01078486A
IN
207RH0003X
Hematology & Oncology Physician
Primary
ME147519
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108897200
—
FL
01
—
L2DAP
FL BLUE
FL
01
—
NB151
MEDICARE
FL
Enumeration date
07/26/2010
Last updated
02/01/2021
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