Tamara Threlkeld Pistoria, DO

NPI #1932107158 in Lakeland, Florida

Provider Information

NPI Number: 1932107158
Entity Type: Individual
Name: Tamara Threlkeld Pistoria, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: DO
Enumeration Date: Jul 12, 2005
Last Updated: Jun 26, 2012

Practice Location

Address: 1033 N PARKWAY FRONTAGE RD
City: Lakeland
State: Florida
ZIP Code: 33803-0401
Phone: (863) 647-8011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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