Provider Demographics
NPI:1669813069
Name:ZINNER, LEA BARBIERI (RPH,PHD)
Entity Type:Individual
Prefix:
First Name:LEA
Middle Name:BARBIERI
Last Name:ZINNER
Suffix:
Gender:F
Credentials:RPH,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19745 BLACK OLIVE LN
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-4855
Mailing Address - Country:US
Mailing Address - Phone:561-483-5506
Mailing Address - Fax:
Practice Address - Street 1:19745 BLACK OLIVE LN
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-4855
Practice Address - Country:US
Practice Address - Phone:561-483-5506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-13
Last Update Date:2013-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS43353183500000X
FLPU66931835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist