Lynnette Lallave - Cortes, MD
General Practice in Daytona Beach, FL. Individual provider (NPI-1).
NPI number1962022152
StatusActive
Last updated in NPPESFeb 17, 2026
Details
- NPI
- 1962022152
- Entity type
- Individual (NPI-1)
- Name
- Lynnette Lallave - Cortes
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2020
- Certification date
- Feb 17, 2026
- Last updated
- Feb 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | ACN1425 | FL | Yes |
| 208D00000X | General Practice | 21878 | PR |
Practice location
731 N Clyde Morris BlvdDaytona Beach, FL 32114-1603
Phone 386-257-1626 · Fax 866-486-1253
Mailing address
6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168
Phone 305-500-2000
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