Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 01060969A | IN |
NPI | 1033210620 |
---|---|
Provider Name | Dr. Gabriela Lemoine |
First Address | West Palm Beach, FL 33401-5928 |
Second Address | West Palm Beach, FL 33410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 20/11/2009 |