Thelma Lissette Pena Lozano
NPI #1659839934 in Lehigh Acres, Florida
Provider Information
- NPI Number
- 1659839934
- Entity Type
- Individual
- Name
- Thelma Lissette Pena Lozano
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Mar 6, 2019
- Last Updated
- Mar 6, 2019
Practice Location
- Address
- 3412 19TH ST SW
- City
- Lehigh Acres
- State
- Florida
- ZIP Code
- 33976-3509
- Phone
- (239) 324-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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