person
Dr. Lenny Tua Mendez, MD
General Practice Physician in Lakeland, Florida
NPI 1225227051

Lenny Tua Mendez is a General Practice Physician based in Orlando, FL. Lenny Tua Mendez practices in Lakeland, FL and has the professional credentials of MD. The NPI Number for Lenny Tua Mendez is 1225227051 and holds a License No. 16894 (Florida).

The current practice location address for Lenny Tua Mendez is 4725 Us Highway 98 S Ste 102, Lakeland, FL and can be reached out via phone at 863-646-9191 and via fax at 863-646-5252.

Location: 4725 Us Highway 98 S Ste 102, Lakeland, FL, 32821-6027
person
Provider Profile Details
NPI Number
1225227051
Provider Name
Lenny Tua Mendez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4725 Us Highway 98 S Ste 102, Lakeland, FL, 32821-6027
Phone Number
863-646-9191
Fax Number
863-646-5252
Provider Enumeration Date
10/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FG350A 01 FL MEDICARE
012863800 05 FL
1456278 01 WELLCARE
P1056619 01 FL FREEDOM
P988170 01 FL OPTIMUM
1119187 01 FL CAREPLUS
P01756119 01 FL SIMPLY
institution
Provider Business Practice Location Address Details
Address
4725 Us Highway 98 S Ste 102
City
State
Zip
33812-4334
Phone Number
863-646-9191
Fax Number
863-646-5252
person
Provider Business Mailing Address Details
Address
4725 Us Highway 98 S Ste 102
City
State
Zip
33812-4334
Phone Number
863-646-9191
Fax Number
863-646-5252
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
16894 ()
Definition
Definition to come...
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