Provider Demographics
NPI:1356592323
Name:DINGLASAN, LU ANNE VELAYO (MD, MHS)
Entity type:Individual
Prefix:DR
First Name:LU ANNE
Middle Name:VELAYO
Last Name:DINGLASAN
Suffix:
Gender:F
Credentials:MD, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3903 W MCKAY AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-4422
Mailing Address - Country:US
Mailing Address - Phone:617-584-9724
Mailing Address - Fax:
Practice Address - Street 1:3903 W MCKAY AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-4422
Practice Address - Country:US
Practice Address - Phone:617-584-9724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2022-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4434592085R0202X
FLME1425442085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology