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Contact Information

INTEGRATIVE PHYSICAL MEDICINE OF LAKELAND LLC
1205 EAST MAGNOLIA ST
SUITE 105
LAKELAND, FL33801
 Phone: 863-272-7454
 Fax: 863-272-7456
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for INTEGRATIVE PHYSICAL MEDICINE OF LAKELAND LLC · (Female)

NPI Number 1669908836
Status Active
Credentials
Entity Individual
Enumeration date 05/10/2017
Last updated 05/10/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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