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NPI Code Detail

MEDICARE: SUZANNE LENA LABABIDI M.D.

MEDICARE: SUZANNE LENA LABABIDI M.D.
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
1207V00000XObstetrics & Gynecology PhysicianME163600FL
2207VM0101XMaternal & Fetal Medicine Physician47686OK

General Provider Information

NPI Number : 1982085635
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE LENA LABABIDI M.D.
Provider Business Mailing Address
First Line : 1324 LAKELAND HILLS BLVD
Second Line : ATTN: MANAGED CARE
City : LAKELAND
State : FL
Zip : 33805-4543
Country : US
Telephone Number : 863-687-1100
Fax Number :
Provider Business Practice Location Address
First Line : 1324 LAKELAND HILLS BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33805-4543
Country : US
Telephone Number : 863-687-6860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2015
Last Update Date : 05/13/2026

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