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Contact Information

LETTUCE LAKE EMERGENCY PHYSICIANS LLC
1430 DALE MABRY HIGHWAY
LUTZ, FL33548
 Phone: 469-401-2386
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LETTUCE LAKE EMERGENCY PHYSICIANS LLC · (Female)

NPI Number 1699293225
Status Active
Credentials
Entity Individual
Enumeration date 09/04/2017
Last updated 12/22/2020 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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