Individual
LAMIS K ELDJEROU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 392-4479
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 392-4479
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
ME105264
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001457000
—
FL
Enumeration date
09/17/2009
Last updated
01/11/2010
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