Individual provider · Type 1 NPI
Lazara Medina
Nurse Practitioner · Miami, FL
Practice location
11211 SW 152nd St
Miami, FL 33157-1101
Fax (305) 255-2015
Mailing address
455 NW 114th Ave Apt 308
Miami, FL 33172-4171
Other practice locations
- 612 S State Road 7, Margate, FL 33068-1734 · (305) 266-2929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 11009978 (FL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1053916163
Lazara Medina's National Provider Identifier is 1053916163, issued on Dec 4, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Miami, FL. The record was last updated on Nov 12, 2024.