Most Relevant Information
Provider Data
| NPI Number: | 1003492596 |
| Provider Name: | VICTORIA LORD MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/23/2021 |
| Last Updated: | 03/23/2021 |
Provider Practice Location
5301 S CONGRESS AVE
3 SOUTH
ATLANTIS
FL
334621149
Practice Location Phone/Fax
| Phone: | 5615481711 |
| Fax: | 5615481743 |
Provider Mailing Location
5301 S CONGRESS AVE
3 SOUTH
ATLANTIS
FL
334621149
Provider Mailing Phone/Fax
| Phone: | 5615481711 |
| Fax: | 5615481743 |