Dr. Lachanda Tanisha Dudley, M.D.
Family Medicine in Miami, FL. Individual provider (NPI-1).
NPI number1720169840
StatusActive
Last updated in NPPESJan 30, 2013
Details
- NPI
- 1720169840
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lachanda Tanisha Dudley
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2006
- Last updated
- Jan 30, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME92152 | FL | Yes |
Practice location
1611 Nw 12th AveMiami, FL 33136-1005
Phone 305-243-6484
Mailing address
1611 Nw 12th AveMiami, FL 33136-1005
Phone 305-243-6484
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