NPI 1023759826

Ileana Ivelisse Rivera, CPI

Practitioner Phlebotomy Technician Lakeland, FL

Practice location

Address: 465 S Grady Ave, Lakeland, FL 33815-4017
Phone: (863) 660-4180
Mailing address: 805 N Massachusetts Ave STE 1, Lakeland, FL 33801-1747

Registered specialties

Phlebotomy Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X Licence 3162-160-065-6023 (MA)

Other Technician, Pathology providers in Florida →

Registry record

NPI: 1023759826
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Apr 2022
Record last updated: 5 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.