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NPI Code Detail

MEDICARE: J NOEL LAMA, MD, PA

MEDICARE: J NOEL LAMA, MD, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician64989FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265706709
Entity Type Code : Organization
Provider Name (Legal Business Name) : J NOEL LAMA, MD, PA
Provider Business Mailing Address
First Line : 101 S DIXIE DR
Second Line :
City : HAINES CITY
State : FL
Zip : 33844-2844
Country : US
Telephone Number : 863-421-1190
Fax Number : 863-422-7393
Provider Business Practice Location Address
First Line : 101 S DIXIE DR
Second Line :
City : HAINES CITY
State : FL
Zip : 33844-2844
Country : US
Telephone Number : 863-421-1190
Fax Number : 863-422-7393
Authorized Official
Title or Position : PHYSICIAN
Name : DR. JACOBO NOEL LAMA
Credential : MD
Telephone Number : 863-421-1190
Provider Enumeration Date : 03/01/2012
Last Update Date : 03/01/2012

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