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NPI Code Detail

MEDICARE: MS. GUADALUPE LAMAS ARNP

MEDICARE: MS. GUADALUPE LAMAS ARNP
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
1363LA2200XAdult Health Nurse Practitioner2944772FL

General Provider Information

NPI Number : 1386996742
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GUADALUPE LAMAS ARNP
Provider Business Mailing Address
First Line : 13110 ELK MOUNTAIN DR
Second Line :
City : RIVERVIEW
State : FL
Zip : 33579-7182
Country : US
Telephone Number : 813-349-7569
Fax Number : 813-349-7561
Provider Business Practice Location Address
First Line : 508 N MARYLAND AVE
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-3820
Country : US
Telephone Number : 813-349-7600
Fax Number : 813-938-6423
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2012
Last Update Date : 12/18/2015

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