Individual provider · Type 1 NPI

Thelma Lissette Pena Lozano

Developmental Disabilities Clinic/Center · Lehigh Acres, FL

NPI number 1659839934 Active

Practice location

3412 19th St SW
Lehigh Acres, FL 33976-3509

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: 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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About NPI 1659839934

Thelma Lissette Pena Lozano's National Provider Identifier is 1659839934, issued on Mar 6, 2019. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Lehigh Acres, FL. The record was last updated on Mar 6, 2019.