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Thelma Lissette Pena Lozano
Developmental Disabilities Clinic/Center in Lehigh Acres, Florida
NPI 1659839934

Thelma Lissette Pena Lozano is a Developmental Disabilities Clinic/Center based in Lehigh Acres, FL and is specialized in Developmental Disabilities. Thelma Lissette Pena Lozano practices in Lehigh Acres, FL. The NPI Number for Thelma Lissette Pena Lozano is 1659839934 and holds a License No. (Florida).

The current practice location address for Thelma Lissette Pena Lozano is 3412 19Th St Sw, Lehigh Acres, FL and can be reached out via phone at 239-324-2200.

Location: 3412 19Th St Sw, Lehigh Acres, FL, 33976-3509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659839934
Provider Name
Thelma Lissette Pena Lozano
Credential
Provider Entity Type
Individual
Gender
Female
Address
3412 19Th St Sw, Lehigh Acres, FL, 33976-3509
Phone Number
239-324-2200
Fax Number
Provider Enumeration Date
03/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3412 19Th St Sw
City
Lehigh Acres
State
Florida
Zip
33976-3509
Phone Number
239-324-2200
Fax Number
person
Provider Business Mailing Address Details
Address
3412 19Th St Sw
City
Lehigh Acres
State
Florida
Zip
33976-3509
Phone Number
239-324-2200
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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