Doctor Name: | LYNDA OTALVARO OROZCO |
NPI Number: | 1548498389 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | TRN14240 |
Business Practice Address: | 515 Memorial Dr Manchester, KY - 409629157 |
Business Phone Number: | 6065984500 |
Business Fax Number: | 6065992540 |
Mailing Address: | 509 Memorial Dr, Suite 2 MANCHESTER |
State: | KY |
Postal Code: | 409626195 |
Phone Number: | 6065985104 |
Fax Number: | 6065980983 |
NPI Enumeration Date: | 07/01/2009 |
NPI Last Update Date: | 09/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | TRN14240 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |