Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME113310 | FL |
Y | 2080P0202X | Pediatric Cardiologist | ME113310 | FL |
NPI | 1124348107 |
---|---|
Provider Name | Suying Del Carmen Lam Barriga |
First Address | Fort Myers, FL 33902-2147 |
Second Address | Fort Myers, FL 33908-9687 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2010 |
Last Update Date | 29/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
014963100 | (05) | FL |