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Individual

DR. LERA LIV FINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
22455 FLORA PARKE XING, FERNANDINA BEACH, FL 32034-8000
(904) 572-1884
Mailing address
22455 FLORA PARKE XING, FERNANDINA BEACH, FL 32034-8000
(904) 572-1884

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
66488
GA
208000000X
Pediatrics Physician
Primary
OS 10686
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202IO12485
GA
Enumeration date
04/02/2008
Last updated
08/20/2021
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