Provider Information for 1003390774
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Ms. LOURDES ARAUJO M.S.
Other Names:Former Name:Ms. LOURDES DOMINGUEZSex: Female
NPI: 1003390774
Last Updated: 2018-09-19
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1003390774 | ||||||||
| Enumeration Date | 2018-09-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 990492 NAPLES, FL 34116-6066 United States Phone: 239-641-9007 | Fax: | ||||||||
| Primary Practice Address | 1570 SHADOWLAWN DR NAPLES, FL 34104-4321 United States Phone: 239-641-9007 | Fax: | ||||||||
| Secondary Practice Address(es) | 3049 CLEVELAND AVE STE 290 | ||||||||
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