Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | DN17818 | FL |
NPI | 1053590570 |
---|---|
Provider Name | Dr. Lesbia Beatriz Drukteinis |
First Address | Doral, FL 33178-4377 |
Second Address | Doral, FL 33178-4377 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2007 |
Last Update Date | 03/11/2015 |