Organization · Type 2 NPI

Lake Mary Ob/gyn

Gynecology Physician · Lake Mary, FL

NPI number 1679669808 Active

About NPI 1679669808

Lake Mary Ob/gyn's National Provider Identifier is 1679669808, issued on Oct 5, 2006. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Lake Mary, FL. The record was last updated on Aug 22, 2020.