Provider Demographics
NPI:1194364489
Name:BATLLE LORENTE, LISDEYBYS
Entity Type:Individual
Prefix:
First Name:LISDEYBYS
Middle Name:
Last Name:BATLLE LORENTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3803 SW 133RD PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3248
Mailing Address - Country:US
Mailing Address - Phone:786-523-4289
Mailing Address - Fax:
Practice Address - Street 1:13706 SW 56TH ST STE 105-106
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6036
Practice Address - Country:US
Practice Address - Phone:786-523-4289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-03
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker