Lainey Medine Petty, PA-C

NPI #1053577213 in Eglin Afb, Florida

Provider Information

NPI Number: 1053577213
Entity Type: Individual
Name: Lainey Medine Petty, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 6, 2008
Last Updated: Jun 22, 2020

Practice Location

Address: 307 BOATNER RD STE 114
City: Eglin Afb
State: Florida
ZIP Code: 32542-1302
Phone: (850) 883-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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