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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

NPI Number 1699293225
LBN Legal business name LETTUCE LAKE EMERGENCY PHYSICIANS LLC
Authorized official KATHY KONDAS - (OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/04/2017
Last updated 12/22/2020 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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