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Individual

DR. SANJANA IYENGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3525 LAKELAND HILLS BLVD, LAKELAND, FL 33805
(863) 603-6565
(863) 603-6564
Mailing address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME151378
FL
207R00000X
Internal Medicine Physician
125.070032
IL

Other

Enumeration date
03/24/2017
Last updated
08/01/2022
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