Katrina L Lelli in Stuart - Physician Assistant

Katrina L Lelli - NPI 1013126853

Katrina L Lelli is a Physician Assistant in Stuart, Florida. Katrina L Lelli practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Katrina L Lelli is 1013126853. The last update date is 2018-11-12.

Katrina L Lelli's current location address is 2398 Se Ocean Blvd, Stuart, Florida. You can contact this provider via phone number 7724194834 and fax number 7724194833. The mailing address for Katrina L Lelli is 2398 Se Ocean Blvd, Stuart, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Katrina L Lelli
Address 2398 Se Ocean Blvd, Stuart, Florida
Phone Number 7724194834
Fax Number 7724194833
Sole Proprietor N
Credentials RPAC

NPI Number Detail

NPI Number 1013126853
Provider Enumeration Date 2007-05-21
Last Updated Date 2018-11-12

Provider Mailing Address Detail

Address 2398 Se Ocean Blvd
City Stuart
State Florida (FL)
Post Code 349963310
Phone Number 7724194834
Fax Number 7724194833

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2522278 NY --
1PKD4 FL FLORIDA BLUE
P00819028 RAILROAD MEDICARE PIN

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FAQs about Katrina L Lelli

What is the unique 10-digit identification code assigned to Katrina L Lelli by the Centers for Medicare & Medicaid Services?

The Katrina L Lelli has been issued the NPI (National Provider Identifier) 1013126853, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Katrina L Lelli is physically located?

The Katrina L Lelli is physically situated at the following address: 2398 Se Ocean Blvd, Stuart, FL, 349963310.

What is the Katrina L Lelli's specialty and taxonomy code?

The Katrina L Lelli's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1013126853 to Katrina L Lelli?

The Centers for Medicare & Medicaid Services assigned the 1013126853 to Katrina L Lelli on 2007-05-21.

When was the information pertaining to Katrina L Lelli most recently updated or revised?

The details related to Katrina L Lelli, including its address, specialty, and other relevant information, were last updated or revised on 2018-11-12.

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