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NPI Code Detail

MEDICARE: DR. LULU AMORNMARN M.D., M.P.H.

MEDICARE: DR. LULU AMORNMARN M.D., M.P.H.
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
1207R00000XInternal Medicine PhysicianME61020FL
2207RA0201XAllergy & Immunology (Internal Medicine) PhysicianME61020FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2030005313OTHERRAILROAD MEDICARE
3BL140WOTHERMEDICARE PTAN

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 : 1477665263
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LULU AMORNMARN M.D., M.P.H.
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 305-500-2000
Fax Number :
Provider Business Practice Location Address
First Line : 5238-16 NORWOOD AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32208-5005
Country : US
Telephone Number : 904-861-1222
Fax Number : 904-861-2688
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 02/13/2026

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