Individual provider · Type 1 NPI

Lynnette Lallave - Cortes, MD

General Practice Physician · Daytona Beach, FL

NPI number 1962022152 Active

Practice location

731 N Clyde Morris Blvd
Daytona Beach, FL 32114-1603

Fax (866) 486-1253

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X21878 (PR)
General Practice Physician Primary 208D00000XACN1425 (FL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1962022152

Lynnette Lallave - Cortes, MD's National Provider Identifier is 1962022152, issued on Apr 17, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Feb 17, 2026.