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Dr. Lidya Margarita Lataban-lopez, MD
General Practice Physician in Palm Coast, Florida
NPI 1275581829

Lidya Margarita Lataban-lopez is a General Practice Physician based in Miami, FL. Lidya Margarita Lataban-lopez practices in Palm Coast, FL and has the professional credentials of MD. The NPI Number for Lidya Margarita Lataban-lopez is 1275581829 and holds a License No. 15204 (Florida).

The current practice location address for Lidya Margarita Lataban-lopez is 20 Cypress Point Pkwy Ste A, Palm Coast, FL and can be reached out via phone at 386-586-7005 and via fax at 844-867-3940.

Location: 20 Cypress Point Pkwy Ste A, Palm Coast, FL, 33126-3168
person
Provider Profile Details
NPI Number
1275581829
Provider Name
Lidya Margarita Lataban-lopez
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
20 Cypress Point Pkwy Ste A, Palm Coast, FL, 33126-3168
Phone Number
386-586-7005
Fax Number
844-867-3940
Provider Enumeration Date
05/05/2006
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
ACN911 01 FL FLORIDA LICENSE
B159 01 PR FIRST MEDICAL
22385 01 PR TRIPLE S DE PUERTO RICO
9700031 01 PR HUMANA
institution
Provider Business Practice Location Address Details
Address
20 Cypress Point Pkwy Ste A
City
State
Zip
32164-7528
Phone Number
386-586-7005
Fax Number
844-867-3940
person
Provider Business Mailing Address Details
Address
20 Cypress Point Pkwy Ste A
City
State
Zip
32164-7528
Phone Number
386-586-7005
Fax Number
844-867-3940
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
15204 ()
Definition
Definition to come...
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