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Dr. Lidya Margarita Lataban-lopez, MD
General Practice Physician in New Smyrna Beach, Florida
NPI 1275581829

Lidya Margarita Lataban-lopez is a General Practice Physician based in Palatka, FL. Lidya Margarita Lataban-lopez practices in New Smyrna Beach, 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 1914 State Road 44 Ste B, New Smyrna Beach, FL and can be reached out via phone at 386-200-4259.

Location: 1914 State Road 44 Ste B, New Smyrna Beach, FL, 32177-5042
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Provider Profile Details
NPI Number
1275581829
Provider Name
Lidya Margarita Lataban-lopez
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1914 State Road 44 Ste B, New Smyrna Beach, FL, 32177-5042
Phone Number
386-200-4259
Fax Number
Provider Enumeration Date
05/05/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22385 01 PR TRIPLE S DE PUERTO RICO
ACN911 01 FL FLORIDA LICENSE
9700031 01 PR HUMANA
B159 01 PR FIRST MEDICAL
institution
Provider Business Practice Location Address Details
Address
1914 State Road 44 Ste B
City
State
Zip
32168-8345
Phone Number
386-200-4259
Fax Number
person
Provider Business Mailing Address Details
Address
1914 State Road 44 Ste B
City
State
Zip
32168-8345
Phone Number
386-200-4259
Fax Number
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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