Provider Demographics
NPI:1871870196
Name:LAZUKA, LINDA (DOCTOR OF PHARMACY)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:LAZUKA
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7057 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-6720
Mailing Address - Country:US
Mailing Address - Phone:407-671-0003
Mailing Address - Fax:407-671-5709
Practice Address - Street 1:7057 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-6720
Practice Address - Country:US
Practice Address - Phone:407-671-0003
Practice Address - Fax:407-671-5709
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPU6972183500000X
FLPH213883336L0003X
FLPS27056183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy