Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | ME109996 | FL |
NPI | 1407048325 |
---|---|
Provider Name | Lauren Michelle Fine |
First Address | Miami, FL 33136-1005 |
Second Address | Miami, FL 33136-2107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2007 |
Last Update Date | 15/12/2011 |