Individual
LYDIA LEE PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10804 SW 141ST LN, MIAMI, FL 33176-6535
(305) 942-7875
Mailing address
10804 SW 141ST LN, MIAMI, FL 33176-6535
(305) 942-7875
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5258681
FL
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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