NPI 1396583613
Dominique V. Green
Homemaker · Lakeland, FL
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 12:14 pm EDT
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Dominique V. Green is a health care provider (Homemaker) in Lakeland, Florida with National Provider Identifier (NPI) 1396583613. The NPI was issued on Jul 19, 2024 and the registry record was last updated on Jul 19, 2024.
Registry record
- NPI
- 1396583613
- Type
- Individual (NPI-1), sole proprietor
- Primary specialty
- Homemaker 376J00000X
- Practice location
- 122 E Main St # 324
Lakeland, FL 33801-4655 - Phone
- (863) 247-0273
- NPI issued
- Jul 19, 2024
- Registry record updated
- Jul 19, 2024
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Homemaker Primary | 376J00000X |
Confirm license status and discipline with the state board (links in NPI Lookup).
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.