| Doctor Name: | DR. REYNA ISABEL LAJARA |
| NPI Number: | 1366503583 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | ACN291 |
| Business Practice Address: | 1502 E Fowler Ave Tampa, FL - 336125416 |
| Business Phone Number: | 8138660950 |
| Business Fax Number: | 8138660929 |
| Mailing Address: | 6322 Hickory Leaf Pl, LAKELAND |
| State: | FL |
| Postal Code: | 338132930 |
| Phone Number: | 7864230153 |
| Fax Number: | 8138660929 |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 02/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ACN291 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |