Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lazara Medina

Individual provider Nurse Practitioner · NPI 1053916163

Lazara Medina is a Nurse Practitioner in Miami, Florida. Qualified in 2020, 6 years ago. Practices with Claremedica Viking LLC, a 74-clinician group, works from 2 locations and offers telehealth. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
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Practice location Address checks out

11211 SW 152nd St
Miami, FL 33157-1101
Phone: (305) 255-1355
Fax: (305) 255-2015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 612 S State Road 7, Margate, FL 33068-1734 — (305) 266-2929

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11009978 (FL)

Record details

NPI number1053916163
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 4, 2020
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024
Mailing address455 Nw 114th Ave Apt 308, Miami, FL 33172-4171

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Claremedica Viking Llc — 74 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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