Provider Demographics
NPI:1447612064
Name:PINO-DIAZ, LEHNA (MD)
Entity Type:Individual
Prefix:DR
First Name:LEHNA
Middle Name:
Last Name:PINO-DIAZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7485 SW 17TH RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-1000
Mailing Address - Country:US
Mailing Address - Phone:352-333-5700
Mailing Address - Fax:352-376-4975
Practice Address - Street 1:7485 SW 17TH RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-1000
Practice Address - Country:US
Practice Address - Phone:352-333-5700
Practice Address - Fax:352-376-4975
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME146590207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program