Provider Demographics
NPI:1396598546
Name:BARRIOS, LELIA MARGARITT (LAC)
Entity type:Individual
Prefix:
First Name:LELIA
Middle Name:MARGARITT
Last Name:BARRIOS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7114 WILEY RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-2665
Mailing Address - Country:US
Mailing Address - Phone:954-639-3278
Mailing Address - Fax:
Practice Address - Street 1:7114 WILEY RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-2665
Practice Address - Country:US
Practice Address - Phone:954-639-3278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1569171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist